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LEBANON EMERGENCY GROUP LLC NPI 1073581989


NPI Information

NPI: 1073581989
Provider Name: LEBANON EMERGENCY GROUP LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
320 LORETTO RD
LEBANON, KY
ZIP 40033
Phone: (270) 692-3161
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LEBANON EMERGENCY GROUP LLC is an emergency medicine in Lebanon, KY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. LEBANON EMERGENCY GROUP LLC NPI is 1073581989. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

320 LORETTO RD
LEBANON, KY
ZIP 40033-300
Phone: (270) 692-3161

The provider's authorized official is William Schumacher .
The authorized official title is Ceo and has the following contact phone number (800) 893-9698.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineYes
2363L00000XNurse PractitionerX
3363AM0700XPhysician AssistantMedicalX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165941049MEDICAIDKENTUCKY

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: 4/28/2024

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