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Contact Information

CUMBERLAND GASTROENTEROLOGY, P.S.C.
1 SOUTHCREEK DRIVE
MONTICELLO, KY42633
 Phone: 606-677-2913
 Fax: 606-677-6983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CUMBERLAND GASTROENTEROLOGY, P.S.C.

NPI Number 1720160526
LBN Legal business name CUMBERLAND GASTROENTEROLOGY, P.S.C.
Authorized official SAMIR COOK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 03/24/2011 - About 15 years ago
Identifiers
KY License # 2617P
KY License # 34871
KY Medicaid 64384712
KY Medicaid 65933517
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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