LEITCHFIELD PEDIATRIC CLINIC P.S.C. NPI 1558318543

NPI Information

  • NPI: 1558318543
  • Provider Name: LEITCHFIELD PEDIATRIC CLINIC P.S.C.
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 18D0691478
  • Address: 901 WALLACE AVE
    LEITCHFIELD, KY
    ZIP 42754
  • Phone: (270) 259-5641

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NPI Details

LEITCHFIELD PEDIATRIC CLINIC P.S.C. is a rural health clinic center in Leitchfield, KY. LEITCHFIELD PEDIATRIC CLINIC P.S.C. NPI is 1558318543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 WALLACE AVE
LEITCHFIELD, KY
ZIP 42754-417
Phone: (270) 259-5641
Fax: (270) 259-5309

The provider's authorized official is Lynn Robinson .
The authorized official title is Creditialing and has the following contact phone number (270) 259-5641.

The CLIA number assigned to this NPI record is 18D0691478 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 10/20/2020.

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
1208000000XPediatricsNo
2363LP0200XNurse PractitionerPediatricsNo
3261QR1300XClinic/CenterRural HealthYes

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
165926883MEDICAIDKENTUCKY

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: 11/21/2025

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