BUC NEWPORT LLC NPI 1679982250

NPI Information

NPI: 1679982250
Provider Name: BUC NEWPORT LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 18D2084030

Address:
85 CAROTHERS RD
NEWPORT, KY
ZIP 41071
Phone: (859) 431-7900
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BUC NEWPORT LLC is an urgent care clinic center in Newport, KY. BUC NEWPORT LLC NPI is 1679982250. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

85 CAROTHERS RD
NEWPORT, KY
ZIP 41071-415
Phone: (859) 431-7900
Fax: (859) 431-7919

The provider's authorized official is Robert R So .
The authorized official title is Medical Director and has the following contact phone number (859) 431-7900.

The CLIA number assigned to this NPI record is 18D2084030 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2014 and was last updated on 3/11/2019.

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	Primary
1	208D00000X	General Practice		No
2	261QU0200X	Clinic/Center	Urgent Care	Yes
3	291U00000X	Clinical Medical Laboratory		No
4	332B00000X	Durable Medical Equipment & Medical Supplies		No
5	363A00000X	Physician Assistant		No
6	363L00000X	Nurse Practitioner		No

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
1	7100331030	MEDICAID	KENTUCKY
2	7100352430	MEDICAID	KENTUCKY

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

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