Tim Long M.D., Psc in Bowling Green - Clinic/center
Tim Long M.D., Psc - NPI 1417057902
Tim Long M.D., Psc is a Clinic/center in Bowling Green, Kentucky. Tim Long M.D., Psc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Tim Long M.D., Psc is 1417057902. The last update date is 2008-03-06.
Tim Long M.D., Psc's current location address is 1320 Andrea St, Bowling Green, Kentucky. You can contact this provider via phone number 2707465455 and fax number 2707465688. The mailing address for Tim Long M.D., Psc is 1320 Andrea St, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tim Long M.D., Psc |
|---|---|
| Address | 1320 Andrea St, Bowling Green, Kentucky |
| Phone Number | 2707465455 |
| Fax Number | 2707465688 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Long R. Timothy |
| Credentials | M.D. |
| Telephone Number | 2707465455 |
NPI Number Detail
| NPI Number | 1417057902 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2008-03-06 |
Provider Mailing Address Detail
| Address | 1320 Andrea St |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421043334 |
| Phone Number | 2707465455 |
| Fax Number | 2707465688 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65936585 | KY | -- | |
| DA8524 | MEDICARE RAILROAD | ||
| 216368 | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tim Long M.D., Psc by the Centers for Medicare & Medicaid Services?
The Tim Long M.D., Psc has been issued the NPI (National Provider Identifier) 1417057902 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Tim Long M.D., Psc located?
The Tim Long M.D., Psc is located at 1320 Andrea St, Bowling Green, KY 421043334.
What is the Tim Long M.D., Psc's area of specialization and corresponding taxonomy classification?
The Tim Long M.D., Psc's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
When did Tim Long M.D., Psc receive its 1417057902 assignment?
The Tim Long M.D., Psc was assigned its 1417057902 on 2006-09-24, which is the date when this unique identifier was issued to the organization.
When was the Tim Long M.D., Psc's information last updated?
The Tim Long M.D., Psc's information was last updated on 2008-03-06.
NPI Number: 1982607784
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