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EADENS-GRIMBALL INTERNAL MEDICINE ASSOCIATES NPI 1366539223


NPI Information

NPI: 1366539223
Provider Name: EADENS-GRIMBALL INTERNAL MEDICINE ASSOCIATES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
402 BOGLE ST
STE 3
SOMERSET, KY
ZIP 42503
Phone: (606) 451-9953
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EADENS-GRIMBALL INTERNAL MEDICINE ASSOCIATES is an internal medicine in Somerset, KY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EADENS-GRIMBALL INTERNAL MEDICINE ASSOCIATES NPI is 1366539223. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

402 BOGLE ST
STE 3
SOMERSET, KY
ZIP 42503-870
Phone: (606) 451-9953
Fax: (606) 451-1533

The provider's authorized official is Debra Jo Eadens .
The authorized official title is Physician/office Manager and has the following contact phone number (606) 451-9953.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 2/16/2015.


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
1363LF0000XNurse PractitionerFamilyNo
2207R00000XInternal MedicineYes

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
106208MEDICARE PINKENTUCKY
27100049580MEDICAIDKENTUCKY

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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