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Contact Information

TRI-STATE UROLOGY
255 CHURCH ST
STE. 202
PIKEVILLE, KY41501-3476
 Phone: 606-437-9550
 Fax: 606-437-9510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for TRI-STATE UROLOGY

NPI # 1356494876
LBN Legal business name TRI-STATE UROLOGY
Authorized official MARK SWOFFORD - (PRESIDENT PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2007
Last updated 09/21/2010 - About 16 years ago
Identifiers
KY License # 02625
KY Medicaid 1245238484
KY Medicaid 65935009
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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