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Contact Information

GLENN R. WOMACK M.D. PSC
732 ELIZAVILLE ROAD
FLEMINGSBURG, KY41041
 Phone: 606-849-2323
 Fax: 606-849-2025
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GLENN R. WOMACK M.D. PSC

NPI # 1962432153
LBN Legal business name GLENN R. WOMACK M.D. PSC
Authorized official GLENN WOMACK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2006
Last updated 05/21/2013 - About 13 years ago
Identifiers
KY License # 15952
KY Medicaid 65929143
KY Medicaid 78904141
KY Medicaid 9590108800
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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