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PHYSICIANS MEDICAL CENTER LLC NPI 1366960908


NPI Information

NPI: 1366960908
Provider Name: PHYSICIANS MEDICAL CENTER LLC

Doing Business As: PMC URGENT CARE AND OCCUPATIONAL MEDICINE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1006 NEW MOODY LN
LA GRANGE, KY
ZIP 40031
Phone: (502) 222-0028
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PHYSICIANS MEDICAL CENTER LLC is a general practice in La Grange, KY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PHYSICIANS MEDICAL CENTER LLC NPI is 1366960908. The provider is registered as an organization entity type.
The provider Is Doing Business As Pmc Urgent Care And Occupational Medicine.

The provider's business location address is:

1006 NEW MOODY LN
LA GRANGE, KY
ZIP 40031
Phone: (502) 222-0028
Fax: (502) 222-0029

The provider's authorized official is Rebecca Henry .
The authorized official title is Credentialing Specialist and has the following contact phone number (812) 590-6936.

The enumeration date for this NPI number is 9/5/2017 and was last updated on 8/1/2018.


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
1261QX0100XClinic/CenterOccupational MedicineNo
2363A00000XPhysician AssistantNo
3363AM0700XPhysician AssistantMedicalNo
4363L00000XNurse PractitionerNo
5363LF0000XNurse PractitionerFamilyNo
6207Q00000XFamily MedicineNo
7261QU0200XClinic/CenterUrgent CareNo
8208D00000XGeneral PracticeYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.