INDEPENDENCE URGENT CARE LLC; NPI #1508000951

Contact Information

INDEPENDENCE URGENT CARE LLC

2025 DECLARATION DRIVE
INDEPENDENCE, KY 41051

Phone: 859-363-3330
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for INDEPENDENCE URGENT CARE LLC

NPI Number 1508000951

LBN Legal business name INDEPENDENCE URGENT CARE LLC

Authorized official BASHAR BRIJAWI - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/29/2009

Last updated 04/07/2010 - About 16 years ago

Identifiers

KY	License #	0726566
KY	Medicaid	7100091380

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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