Phoenix Health Associates Pllc

LBN: Phoenix Health Associates Pllc
Phoenix Health Associates Pllc is an health care organization with primary practice located at 1021 Majestic Drive Suite 100, Lexington KY 40513-1492. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Phoenix Health Associates Pllc can be contacted via phone (859) 737-0904, or through Ghanta, Ramesh L via phone (859) 737-0904.

Contact Information

Primary practice address
1021 Majestic Drive Suite 100 Lexington KY 40513-1492
Phone: (859) 737-0904
Fax: (859) 737-0902
Website:
Map and Directions
Authorized official contact:
Name: Ghanta, Ramesh L Doctor of Medicine (MD)
Phone: (859) 737-0904

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X KY32188 Kentucky
Agencies / Community/Behavioral Health 251S00000X KY35740 Kentucky

Profile Details

NPI number 1841450665
LBN Legal business name Phoenix Health Associates Pllc
DBA Doing business as
Authorized official Ghanta, Ramesh L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2008
Last updated Jun 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841450665 NPPES
Kentucky MEDICAID 65941874

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