Jackson Purchase Family And Sports Medicine

LBN: Pinelake Physician Practice Llc
Jackson Purchase Family And Sports Medicine is an health care organization with primary practice located at 1111 Medical Center Cir , Mayfield KY 42066-1194. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pinelake Physician Practice Llc can be contacted via phone (270) 251-4085, or through Miller, Denis via phone (615) 934-1454.

Contact Information

Primary practice address
1111 Medical Center Cir Mayfield KY 42066-1194
Phone: (270) 251-4085
Fax: (270) 251-4086
Website:
Map and Directions
Authorized official contact:
Name: Miller, Denis
Phone: (615) 934-1454

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1912216532
LBN Legal business name Pinelake Physician Practice Llc
DBA Doing business as Jackson Purchase Family And Sports Medicine
Authorized official Miller, Denis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2010
Last updated Sep 30th, 2010 - about 15 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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