GERIATRIC ESSENTIALS, PC; NPI #1043812696

Contact Information

GERIATRIC ESSENTIALS, PC

402 W FARTHING ST
MAYFIELD, KY 42066-2900

Phone: 731-571-8808
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Geriatric Psychiatry	2084P0805X	86	Physician/Neuropsychiatry

Indicates primary specialty

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NPI Profile & details for GERIATRIC ESSENTIALS, PC

NPI Number 1043812696

LBN Legal business name GERIATRIC ESSENTIALS, PC

Authorized official SUSAN LOVELACE - (BILLING/CREDENTIALING)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/09/2020

Last updated 11/09/2020 - About 6 years ago

Identifiers

Medicaid

7100689200

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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