Wan'S Medical Clinic

LBN: Richard T.C. Wan, M.D. ,Psc
Wan'S Medical Clinic is an health care organization with primary practice located at 101 W Roberts St , Morgantown KY 42261-7942. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Richard T.C. Wan, M.D. ,Psc can be contacted via phone (270) 526-3841, or through Wan, Richard Tc via phone (270) 526-3841.

Contact Information

Primary practice address
101 W Roberts St Morgantown KY 42261-7942
Phone: (270) 526-3841
Fax: (270) 526-2651
Website:
Map and Directions
Authorized official contact:
Name: Wan, Richard Tc Doctor of Medicine (MD)
Phone: (270) 526-3841

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 16599 Kentucky

Profile Details

NPI number 1104996776
LBN Legal business name Richard T.C. Wan, M.D. ,Psc
DBA Doing business as Wan'S Medical Clinic
Authorized official Wan, Richard Tc Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Jun 18th, 2008 - about 16 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 1104996776 NPPES
Kentucky MEDICAID 65902033
Kentucky Other 18DO326142
Kentucky Other 000000045886

Popular Providers