South Main Clinic Llc

LBN: South Main Clinic Llc
South Main Clinic Llc is an health care organization with primary practice located at 1913 S Main St , Madisonville KY 42431-3353. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. South Main Clinic Llc can be contacted via phone (270) 404-3411, or through Ashby, James Bradley via phone (270) 404-3411.

Contact Information

Primary practice address
1913 S Main St Madisonville KY 42431-3353
Phone: (270) 404-3411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ashby, James Bradley PHARMD
Phone: (270) 404-3411

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1851959217
LBN Legal business name South Main Clinic Llc
DBA Doing business as
Authorized official Ashby, James Bradley PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2019
Last updated Jul 1st, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851959217 NPPES
Other 1851959217 NPI

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