Southgate Medical Of Ky, Inc

LBN: Southgate Medical Of Ky, Inc
Southgate Medical Of Ky, Inc is an health care organization with primary practice located at 425 Garrard St , Covington KY 41011-2562. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Southgate Medical Of Ky, Inc can be contacted via phone (859) 292-8880, or through Stacey, Ralph L via phone (859) 292-8880.

Contact Information

Primary practice address
425 Garrard St Covington KY 41011-2562
Phone: (859) 292-8880
Fax: (859) 292-8923
Website:
Map and Directions
Authorized official contact:
Name: Stacey, Ralph L
Phone: (859) 292-8880

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1134269384
LBN Legal business name Southgate Medical Of Ky, Inc
DBA Doing business as
Authorized official Stacey, Ralph L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
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 1134269384 NPPES
Kentucky MEDICAID 9047059200

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