Pinelake Physician Practice Llc

LBN: Pinelake Physician Practice Llc
Pinelake Physician Practice Llc is an health care organization with primary practice located at 417 S 6Th St , Mayfield KY 42066-2311. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Pinelake Physician Practice Llc can be contacted via phone (270) 247-1104, or through Teague, Kathy via phone (615) 920-7000.

Contact Information

Primary practice address
417 S 6Th St Mayfield KY 42066-2311
Phone: (270) 247-1104
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Teague, Kathy
Phone: (615) 920-7000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1275178089
LBN Legal business name Pinelake Physician Practice Llc
DBA Doing business as
Authorized official Teague, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2019
Last updated Nov 15th, 2019 - about 6 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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