Southeast Kentucky Clinic

LBN: Southeast Kentucky Clinic
Southeast Kentucky Clinic is an health care organization with primary practice located at 402 Bogle St Suite 2, Somerset KY 42503-2870. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southeast Kentucky Clinic can be contacted via phone (606) 679-1189, or through Nadim, Yasser via phone (606) 679-1189.

Contact Information

Primary practice address
402 Bogle St Suite 2 Somerset KY 42503-2870
Phone: (606) 679-1189
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nadim, Yasser
Phone: (606) 679-1189

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 34018 Kentucky

Profile Details

NPI number 1982703617
LBN Legal business name Southeast Kentucky Clinic
DBA Doing business as
Authorized official Nadim, Yasser
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1982703617 NPPES
Kentucky MEDICAID 65933681

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