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Contact Information

VANDERBILT INTEGRATED PROVIDERS
1717 HIGH STREET
SUITE 3A
HOPKINSVILLE, KY42240
 Phone: 270-885-8445
 Fax: 270-886-9106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for VANDERBILT INTEGRATED PROVIDERS

NPI Number 1255463949
LBN Legal business name VANDERBILT INTEGRATED PROVIDERS
Authorized official CHRIS WESTBROOK - (ASSISTANT DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/09/2007
Last updated 02/27/2013 - About 13 years ago
Identifiers
KY License # 3002428
KY License # 3004549
KY Medicaid 78900800
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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