Russell Fork Walk-In Clinic
LBN: Specialty Physician Assistant,Llc
Russell Fork Walk-In Clinic is an health care organization with primary practice located at 17401 Ky Highway 80 E , Elkhorn City KY 41522-8226. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Specialty Physician Assistant,Llc can be contacted via phone (606) 754-7100, or through Burchfield, Nichol via phone (606) 422-4764.
Contact Information
Primary practice address
17401 Ky Highway 80 E
Elkhorn City KY 41522-8226
Phone: (606) 754-7100
Fax: (606) 754-0770
Website:
Authorized official contact:
Name: Burchfield, Nichol Physician's Assistant Certified (PA-C)
Phone: (606) 422-4764
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Kentucky | |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Kentucky | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Kentucky | |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | Kentucky |
Profile Details
| NPI number | 1528484037 |
|---|---|
| LBN Legal business name | Specialty Physician Assistant,Llc |
| DBA Doing business as | Russell Fork Walk-In Clinic |
| Authorized official | Burchfield, Nichol Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2014 |
| Last updated | Nov 29th, 2023 - 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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