Primecare Psc

LBN: Primecare Psc
Primecare Psc is an health care organization with primary practice located at 2413 Ring Rd Ste 110 , Elizabethtown KY 42701-5924. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Primecare Psc can be contacted via phone (270) 765-4535, or through Zoeller, David J. via phone (270) 765-4535.

Contact Information

Primary practice address
2413 Ring Rd Ste 110 Elizabethtown KY 42701-5924
Phone: (270) 765-4535
Fax: (270) 763-1901
Website:
Map and Directions
Authorized official contact:
Name: Zoeller, David J. Doctor of Medicine (MD)
Phone: (270) 765-4535

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26429 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1023091600
LBN Legal business name Primecare Psc
DBA Doing business as
Authorized official Zoeller, David J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2005
Last updated Nov 17th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023091600 NPPES
Tennessee MEDICAID 1507510
Tennessee MEDICAID 78904083
Tennessee MEDICAID 65922940
Tennessee MEDICAID 7100060440

Popular Providers