MY 3 C'S ENTERPRISES PLLC NPI 1902027865

NPI Information

NPI: 1902027865
Provider Name: MY 3 C'S ENTERPRISES, PLLC

Doing Business As: MY 3 C'S ENTERPRISES, PLLC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1704 W STOCKTON ST
EDMONTON, KY
ZIP 42129
Phone: (270) 432-4800
Get Directions

MY 3 C'S ENTERPRISES, PLLC is a general practice in Edmonton, KY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MY 3 C'S ENTERPRISES, PLLC NPI is 1902027865. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As My 3 C's Enterprises, Pllc.

The provider's business location address is:

1704 W STOCKTON ST
EDMONTON, KY
ZIP 42129-137
Phone: (270) 432-4800
Fax: (270) 432-4804

The provider's authorized official is Tiffany Nichole Dunagan .
The authorized official title is Billing Manager and has the following contact phone number (270) 432-4800.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 1/10/2012.

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	208D00000X	General Practice		35818	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	64029440	MEDICAID	KENTUCKY
2	000000259528	OTHER	KENTUCKY	ANTHEM
3	000000259528	OTHER	KENTUCKY	BLUE CROSS
4	0751201	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
5	H29307	MEDICARE UPIN	KENTUCKY
6	7512	MEDICARE ID-TYPE UNSPECIFIED	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: 5/5/2024

NPI Synchronization or Removal

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