Prestonsburg Primary Care Pllc
LBN: Prestonsburg Primary Care Pllc
Prestonsburg Primary Care Pllc is an health care organization with primary practice located at 535 N Lake Dr , Prestonsburg KY 41653-1278. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Prestonsburg Primary Care Pllc can be contacted via phone (606) 886-8466, or through Burchett, Blake R via phone (606) 886-8466.
Contact Information
Primary practice address
535 N Lake Dr
Prestonsburg KY 41653-1278
Phone: (606) 886-8466
Fax: (606) 886-0250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Kentucky | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Kentucky |
Profile Details
| NPI number | 1942554068 |
|---|---|
| LBN Legal business name | Prestonsburg Primary Care Pllc |
| DBA Doing business as | |
| Authorized official | Burchett, Blake R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2012 |
| Last updated | May 5th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942554068 | NPPES |
| Kentucky | Other | K068190 | MEDICARE PTAN |
| Kentucky | MEDICAID | 7100223400 | MEDICARE PTAN |
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