MERCER PEDIATRICS PSC NPI 1669415493

NPI Information

  • NPI: 1669415493
  • Provider Name: MERCER PEDIATRICS PSC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: HAGGIN PRIMARY CARE CLINIC
  • CLIA Number: 18D0322371
  • Address: 466 LINDEN AVE
    HARRODSBURG, KY
    ZIP 40330
  • Phone: (859) 734-5123

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NPI Details

MERCER PEDIATRICS PSC is a pediatrics in Harrodsburg, KY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MERCER PEDIATRICS PSC NPI is 1669415493. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Haggin Primary Care Clinic.

The provider's business location address is:

466 LINDEN AVE
HARRODSBURG, KY
ZIP 40330-841
Phone: (859) 734-5123
Fax: (859) 734-0664

The provider's authorized official is Pamela G Johnson .
The authorized official title is President/ceo and has the following contact phone number (859) 734-5123.

The CLIA number assigned to this NPI record is 18D0322371 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 3/7/2014.

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
1208000000XPediatrics25108KENTUCKYYes

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
165929507MEDICAIDKENTUCKY
2610510934MEDICAIDKENTUCKY

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: 3/30/2025

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