Southern Medical Partners, Llc

LBN: Southern Medical Partners, Llc
Southern Medical Partners, Llc is an health care organization with primary practice located at 100 Medical Center Drive , Hazard KY 41701-9421. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Southern Medical Partners, Llc can be contacted via phone (606) 439-6651, or through Falk, Lisha C via phone (337) 609-1221.

Contact Information

Primary practice address
100 Medical Center Drive Hazard KY 41701-9421
Phone: (606) 439-6651
Fax: (904) 805-1312
Website:
Map and Directions
Authorized official contact:
Name: Falk, Lisha C
Phone: (337) 609-1221

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X

Profile Details

NPI number 1538109962
LBN Legal business name Southern Medical Partners, Llc
DBA Doing business as
Authorized official Falk, Lisha C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Sep 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538109962 NPPES
Kentucky Other 000000061316 BCBS
Kentucky MEDICAID 65930216 BCBS

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