SEBREE MEDICAL GROUP NPI 1902514904

NPI Information

  • NPI: 1902514904
  • Provider Name: SEBREE MEDICAL GROUP
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 18D2272071
  • Address: 7139 STATE ROUTE 56 E
    SEBREE, KY
    ZIP 42455
  • Phone: (270) 318-5088

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NPI Details

SEBREE MEDICAL GROUP is a rural health clinic center in Sebree, KY. SEBREE MEDICAL GROUP NPI is 1902514904. The provider is registered as an organization entity type.

The provider's business location address is:

7139 STATE ROUTE 56 E
SEBREE, KY
ZIP 42455-136
Phone: (270) 318-5088
Fax: (270) 318-3131

The provider's authorized official is Lesley Kyle Bow .
The authorized official title is Ceo and has the following contact phone number (407) 456-4591.

The CLIA number assigned to this NPI record is 18D2272071 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2022 and was last updated on 11/8/2022.

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
1261QR1300XClinic/CenterRural HealthYes

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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