Phoenix Preferred Care, Inc.

LBN: Phoenix Preferred Care, Inc.
Phoenix Preferred Care, Inc. is an health care organization with primary practice located at 201 E Mount Vernon St , Somerset KY 42501-1412. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Phoenix Preferred Care, Inc. can be contacted via phone (606) 451-9379, or through Hamm, Tina M via phone (606) 451-9379.

Contact Information

Primary practice address
201 E Mount Vernon St Somerset KY 42501-1412
Phone: (606) 451-9379
Fax: (606) 451-8149
Website:
Map and Directions
Authorized official contact:
Name: Hamm, Tina M
Phone: (606) 451-9379

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 069364 Kentucky

Profile Details

NPI number 1639290596
LBN Legal business name Phoenix Preferred Care, Inc.
DBA Doing business as
Authorized official Hamm, Tina M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1639290596 NPPES
Kentucky Other 29101847 IMPACT PLUS PROVIDER ID
Kentucky Other 29201845 IMPACT PLUS PROVIDER ID

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