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Contact Information

PURCHASE GASTROENTEROLOGY ASSOCIATES PSC
1029 MEDICAL CENTER CIRCLE
STE 306
MAYFIELD, KY42066
 Phone: 270-251-4575
 Fax: 270-251-4577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PURCHASE GASTROENTEROLOGY ASSOCIATES PSC

NPI Number 1639131246
LBN Legal business name PURCHASE GASTROENTEROLOGY ASSOCIATES PSC
Authorized official SHANNON THOMPSON - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2006
Last updated 01/12/2015 - About 11 years ago
Identifiers
KY License # 3004998
KY License # 3005111
KY License # 30255
KY License # 41420
KY Medicaid 65943284
KY Medicaid 7100234660
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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