LOURDES MEDICAL PAVILION NPI 1386826261

NPI Information

NPI: 1386826261
Provider Name: LOURDES MEDICAL PAVILION

Other Name: SURGICARE CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
225 MEDICAL CENTER DR STE 105
PADUCAH, KY
ZIP 42003
Phone: (270) 441-4500
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LOURDES MEDICAL PAVILION is an ambulatory surgical clinic center in Paducah, KY. LOURDES MEDICAL PAVILION NPI is 1386826261. The provider is registered as an organization entity type.
The provider Other Name Is Surgicare Center.

The provider's business location address is:

225 MEDICAL CENTER DR STE 105
PADUCAH, KY
ZIP 42003-914
Phone: (270) 441-4500
Fax: (270) 441-4171

The provider's authorized official is Jim Wring .
The authorized official title is President/ceo and has the following contact phone number (270) 441-4181.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 12/3/2007.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	300114	KENTUCKY	Yes

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
1	ASC1027	MEDICARE PIN	KENTUCKY

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

NPI Synchronization or Removal

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