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LEILA TELEHEALTH LLC NPI 1144979550


NPI Information

NPI: 1144979550
Provider Name: LEILA TELEHEALTH LLC

Doing Business As: LEILA URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 18D2274033

Address:
2940 HEBRON PARK DR STE 101
HEBRON, KY
ZIP 41048
Phone: (859) 534-0914
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LEILA TELEHEALTH LLC is an urgent care clinic center in Hebron, KY. LEILA TELEHEALTH LLC NPI is 1144979550. The provider is registered as an organization entity type.
The provider Is Doing Business As Leila Urgent Care.

The provider's business location address is:

2940 HEBRON PARK DR STE 101
HEBRON, KY
ZIP 41048-535
Phone: (859) 534-0914
Fax: (859) 534-0914

The provider's authorized official is Farduwsa Hassan .
The authorized official title is Nurse Practitioner and has the following contact phone number (404) 943-0150.

The CLIA number assigned to this NPI record is 18D2274033 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2022 and was last updated on 1/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H12-235-682MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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