Plaza Park Family Practice Llc

LBN: Plaza Park Family Practice Llc
Plaza Park Family Practice Llc is an health care organization with primary practice located at 3799 Venetian Way , Newburgh IN 47630-8278. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Plaza Park Family Practice Llc can be contacted via phone (812) 471-4302, or through Rubel, Carleen M via phone (812) 471-4302.

Contact Information

Primary practice address
3799 Venetian Way Newburgh IN 47630-8278
Phone: (812) 471-4302
Fax: (812) 471-4303
Website:
Map and Directions
Authorized official contact:
Name: Rubel, Carleen M Nurse Practitioner (NP)
Phone: (812) 471-4302

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036788A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Indiana

Profile Details

NPI number 1336574490
LBN Legal business name Plaza Park Family Practice Llc
DBA Doing business as
Authorized official Rubel, Carleen M Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2013
Last updated Feb 27th, 2024 - about 9 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336574490 NPPES
Indiana Other DU3406 RAILROAD MEDICARE
Indiana Other 000000840875 RAILROAD MEDICARE
Indiana MEDICAID 201195100 RAILROAD MEDICARE

Popular Providers