Rockcastle Pediatrics & Adolescents Psc
LBN: Rockcastle Pediatrics & Adolescents Psc
Rockcastle Pediatrics & Adolescents Psc is an health care organization with primary practice located at 140 Newcomb Ave , Mount Vernon KY 40456-2728. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Rockcastle Pediatrics & Adolescents Psc can be contacted via phone (606) 256-4148, or through Shaffer, Callie via phone (606) 256-4148.
Contact Information
Primary practice address
140 Newcomb Ave
Mount Vernon KY 40456-2728
Phone: (606) 256-4148
Fax: (606) 256-7785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Kentucky | |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | Kentucky | |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | Kentucky |
Profile Details
| NPI number | 1336379544 |
|---|---|
| LBN Legal business name | Rockcastle Pediatrics & Adolescents Psc |
| DBA Doing business as | |
| Authorized official | Shaffer, Callie Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Feb 16th, 2013 - about 11 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 | 1336379544 | NPPES |
| Kentucky | MEDICAID | 7100081050 |
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