BARDSTOWN PRIMARY CARE PLLC NPI 1053305524

NPI Information

  • NPI: 1053305524
  • Provider Name: BARDSTOWN PRIMARY CARE, PLLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: PHYSICIANS TO CHILDREN & ADOLESCENTS
  • Address: 201 S 5TH ST
    BARDSTOWN, KY
    ZIP 40004
  • Phone: (502) 348-7554

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NPI Details

BARDSTOWN PRIMARY CARE, PLLC is a rural health clinic center in Bardstown, KY. BARDSTOWN PRIMARY CARE, PLLC NPI is 1053305524. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physicians To Children & Adolescents.

The provider's business location address is:

201 S 5TH ST
BARDSTOWN, KY
ZIP 40004-142
Phone: (502) 348-7554
Fax: (502) 337-6070

The provider's authorized official is Mary Jo Nalley .
The authorized official title is Administrator and has the following contact phone number (502) 348-7554.

The enumeration date for this NPI number is 9/9/2005 and was last updated on 10/29/2019.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2207Q00000XFamily MedicineNo
3208000000XPediatricsNo
4363L00000XNurse PractitionerNo
5363LF0000XNurse PractitionerFamilyNo
6363LP0200XNurse PractitionerPediatricsNo
7261QR1300XClinic/CenterRural HealthYes

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: 3/30/2025

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