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CAMPBELL MEDICAL GROUP MD PSC NPI 1003000803

NPI Profile

NPI: 1003000803
Provider Name: CAMPBELL MEDICAL GROUP, MD, PSC

Other Name: CAMPBELL MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
303 PROFESSIONAL PARK DR
GLASGOW, KY
ZIP 42141
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Phone: (270) 629-3772

CAMPBELL MEDICAL GROUP, MD, PSC is a healthcare provider in Glasgow, KY.The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAMPBELL MEDICAL GROUP, MD, PSC NPI is 1003000803. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Campbell Medical Group.

The provider's business location address is:

303 PROFESSIONAL PARK DR
GLASGOW, KY
ZIP 42141-487
Phone: (270) 629-3772
Fax: (270) 629-3774

The provider's authorized official is Jennifer Dalton Gibson .
The authorized official title is Office Manager and has the following contact phone number (270) 629-3772.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 12/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0000XInternal MedicineAdolescent Medicine34221KENTUCKYNo
2363L00000XNurse Practitioner4716PKENTUCKYNo
3207Q00000XFamily Medicine33935KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000360876OTHERKENTUCKYBLUE CROSS BLUE SHIELD
20922102MEDICARE UPINKENTUCKY
364019003MEDICAIDKENTUCKY
49221MEDICARE PINKENTUCKY
50922101MEDICARE UPINKENTUCKY
6000000333249OTHERKENTUCKYBLUE CROSS BLUE SHIELD
764095326MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 12/9/2018

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