FAIRVIEW PHYSICIANS NETWORK LLC NPI 1437602745

NPI Information

NPI: 1437602745
Provider Name: FAIRVIEW PHYSICIANS NETWORK, LLC

Doing Business As: JENNIE STUART MEDICAL GROUP

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D2198338

Address:
120 N MAIN ST
TRENTON, KY
ZIP 42286
Phone: (270) 466-9300
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FAIRVIEW PHYSICIANS NETWORK, LLC is a rural health clinic center in Trenton, KY. FAIRVIEW PHYSICIANS NETWORK, LLC NPI is 1437602745. The provider is registered as an organization entity type.
The provider Is Doing Business As Jennie Stuart Medical Group.

The provider's business location address is:

120 N MAIN ST
TRENTON, KY
ZIP 42286-734
Phone: (270) 466-9300
Fax: (270) 466-3300

The provider's authorized official is Eric Lee .
The authorized official title is Ceo/president and has the following contact phone number (270) 887-0100.

The CLIA number assigned to this NPI record is 18D2198338 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2016 and was last updated on 8/3/2016.

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	261QR1300X	Clinic/Center	Rural Health			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: 5/5/2024

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