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Contact Information

WHITAKER NATIONAL CORPORATION
625 JAMES TRIMBLE BLVD
PAINTSVILLE, KY41240
 Phone: 606-789-3511
 Fax: 606-789-1432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WHITAKER NATIONAL CORPORATION

NPI Number 1407846835
LBN Legal business name WHITAKER NATIONAL CORPORATION
Authorized official JENNIFER MOORE - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2005
Last updated 06/28/2018 - About 8 years ago
Identifiers
KY Medicaid 65932204
OH Medicaid 2502198
WV Medicaid 0008085000
Other CA8135 RR MEDICARE
KY Other 000000061861 BCBS GROUP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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