CLAY CITY PEDIATRICS PSC NPI 1396048872

NPI Information

NPI: 1396048872
Provider Name: CLAY CITY PEDIATRICS, PSC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 18D2016278

Address:
98 RIVER ST
CLAY CITY, KY
ZIP 40312
Phone: (606) 663-7788
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CLAY CITY PEDIATRICS, PSC is a primary care clinic center in Clay City, KY. CLAY CITY PEDIATRICS, PSC NPI is 1396048872. The provider is registered as an organization entity type.

The provider's business location address is:

98 RIVER ST
CLAY CITY, KY
ZIP 40312-314
Phone: (606) 663-7788
Fax: (606) 663-7785

The provider's authorized official is Eyad Albaree .
The authorized official title is Partner and has the following contact phone number (606) 349-8100.

The CLIA number assigned to this NPI record is 18D2016278 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2010 and was last updated on 2/8/2011.

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	261QP2300X	Clinic/Center	Primary Care	700222	KENTUCKY	Yes

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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