PARK STREET PARTNERS, L.L.P.; NPI #1467708180

Contact Information

PARK STREET PARTNERS, L.L.P.

1110 WILKINSON TRCE
BOWLING GREEN, KY 42103-3402

Phone: 270-796-3590
Fax: 270-745-1156
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Corporate Health	261QC1800X

Indicates primary specialty

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NPI Profile & details for PARK STREET PARTNERS, L.L.P.

NPI # 1467708180

LBN Legal business name PARK STREET PARTNERS, L.L.P.

Authorized official RONALD SOWELL - (EXECUTIVE VICE-PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/31/2012

Last updated 07/31/2012 - About 14 years ago

Identifiers

License #

XXXXXXXXXX

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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