CHOICE MEDICAL CARE, PSC; NPI #1386643518

Contact Information

CHOICE MEDICAL CARE, PSC

815 E PARRISH AVE
SUITE 330
OWENSBORO, KY 42303-3222

Phone: 270-688-0900
Fax: 270-685-0050
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Interventional Cardiology	207RI0011X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for CHOICE MEDICAL CARE, PSC

NPI # 1386643518

LBN Legal business name CHOICE MEDICAL CARE, PSC

Authorized official MICHAEL JARVIS - (PRESIDENT OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/19/2005

Last updated 12/07/2010 - About 16 years ago

Identifiers

KY	License #	15139
IN	Medicaid	200154350A
KY	Medicaid	65929275
	Other	000000041803	ANTHEM BCBS
	Other	104357	BLACK LUNG
	Other	1524493	UMWA

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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