BARDSTOWN PRIMARY CARE PLLC NPI 1639654809

NPI Information

NPI: 1639654809
Provider Name: BARDSTOWN PRIMARY CARE, PLLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D1020573

Address:
102 W DEPOT ST
SPRINGFIELD, KY
ZIP 40069
Phone: (502) 348-6309
Get Directions

BARDSTOWN PRIMARY CARE, PLLC is a rural health clinic center in Springfield, KY. BARDSTOWN PRIMARY CARE, PLLC NPI is 1639654809. The provider is registered as an organization entity type.

The provider's business location address is:

102 W DEPOT ST
SPRINGFIELD, KY
ZIP 40069-159
Phone: (502) 348-6309

The provider's authorized official is Mary Jo Nalley .
The authorized official title is Cfo and has the following contact phone number (502) 348-7554.

The CLIA number assigned to this NPI record is 18D1020573 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2018 and was last updated on 10/3/2018.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »