St Luke Pediatric Center in Bellevue - Pediatrics
St Luke Pediatric Center - NPI 1104087196
St Luke Pediatric Center is a Pediatrics in Bellevue, Kentucky. St Luke Pediatric Center practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for St Luke Pediatric Center is 1104087196. The last update date is 2008-06-23.
St Luke Pediatric Center's current location address is 103 Landmark Dr Ste 360, Bellevue, Kentucky. You can contact this provider via phone number 8592613700 and fax number 8592619788. The mailing address for St Luke Pediatric Center is 103 Landmark Dr Ste 360, Bellevue, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Luke Pediatric Center |
|---|---|
| Address | 103 Landmark Dr Ste 360, Bellevue, Kentucky |
| Phone Number | 8592613700 |
| Fax Number | 8592619788 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CODER |
|---|---|
| Authorized Official Name | Sanchez Stephanie |
| Credentials | CPC |
| Telephone Number | 8592613700 |
NPI Number Detail
| NPI Number | 1104087196 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 103 Landmark Dr Ste 360 |
|---|---|
| City | Bellevue |
| State | Kentucky (KY) |
| Post Code | 410731354 |
| Phone Number | 8592613700 |
| Fax Number | 8592619788 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65915621 | KY | -- | |
| 78901709 | KY | MEDICAID NP GROUP |
Post Comment/ Review Below
What is the unique provider identifier assigned to St Luke Pediatric Center?
The St Luke Pediatric Center has been issued the NPI (National Provider Identifier) 1104087196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the St Luke Pediatric Center's physical address?
The St Luke Pediatric Center is physically located at 103 Landmark Dr Ste 360, in the city of Bellevue, KY, with the postal code 410731354.
What is St Luke Pediatric Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The St Luke Pediatric Center's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
When did the St Luke Pediatric Center receive its 1104087196?
The St Luke Pediatric Center was issued its 1104087196 on 2008-06-23, which is the date when the organization was assigned this unique identifier.
When was the information regarding St Luke Pediatric Center most recently updated?
The details pertaining to the St Luke Pediatric Center, including its address, specialty, and other relevant information, were last refreshed on 2008-06-23.
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