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Contact Information

MEADOWVIEW PHYSICIAN PRACTICE LLC
991 MEDICAL PARK DR
SUITE 201
MAYSVILLE, KY41056
 Phone: 615-957-0847
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MEADOWVIEW PHYSICIAN PRACTICE LLC

NPI # 1356592612
LBN Legal business name MEADOWVIEW PHYSICIAN PRACTICE LLC
Authorized official KATHY TEAGUE - (CORPORATE SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2008
Last updated 04/03/2020 - About 6 years ago
Identifiers
KY License # 30189
KY Medicaid 7100072970
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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