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NPI Code Detail

MEDICARE: FIRST STOP URGENT CARE CENTER PSC

MEDICARE: FIRST STOP URGENT CARE CENTER PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
21041C0700XClinical Social Worker
3363LF0000XFamily Nurse Practitioner
4207R00000XInternal Medicine Physician
5208D00000XGeneral Practice Physician
6207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4DD0597OTHERKYRAILROAD MEDICARE
79241OTHERKYMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12694766000OTHERKYPASSPORT ADVANTAGE
2611378102OTHERKYCOMMERCIAL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5000000344868OTHERKYANTHEM
6500009943OTHERKYPASSPORT

General Provider Information

NPI Number : 1285731497
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST STOP URGENT CARE CENTER PSC
Provider Business Mailing Address
First Line : 1006 NEW MOODY LN
Second Line :
City : LAGRANGE
State : KY
Zip : 40031-9122
Country : US
Telephone Number : 502-222-0028
Fax Number : 502-222-0029
Provider Business Practice Location Address
First Line : 1006 NEW MOODY LN
Second Line :
City : LAGRANGE
State : KY
Zip : 40031-9122
Country : US
Telephone Number : 502-222-0028
Fax Number : 502-222-0029
Authorized Official
Title or Position : OWNER/MEDICAL DIRECTOR
Name : DR. KAMLESH C DAVE
Credential : MD
Telephone Number : 502-693-2465
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/24/2014

Similar Medicare Providers

1679599500 — DR. KAMLESH C DAVE MD
Practice Location Address:
1006 NEW MOODY LN
LAGRANGE, KY
40031-9122
Practice Phone: 502-222-0028
Practice Fax: 502-222-0029
1154526655 — KENTUCKY SLEEP DISORDER CENTER LLC
Practice Location Address:
1006 NEW MOODY LN
LAGRANGE, KY
40031-9122
Practice Phone: 502-222-0030
Practice Fax: 502-222-0390
1851393961 — RAMESHBHAI PATEL M.D.
Practice Location Address:
1006 NEW MOODY LN
LA GRANGE, KY
40031-9122
Practice Phone: 502-222-0028
Practice Fax: 502-222-0029
1932193349 — ALEX F. ARGOTTE MD
Practice Location Address:
1006 NEW MOODY LN
LA GRANGE, KY
40031-9122
Practice Phone: 502-593-0083
Practice Fax:
1649359514 — MARCIA D EBBS MD PSC
Practice Location Address:
1006 NEW MOODY LN
LA GRANGE, KY
40031-9122
Practice Phone: 502-593-0083
Practice Fax: 502-222-0029
1346367331 — SANDRA LYNN SAVAGE DO
Practice Location Address:
1006 NEW MOODY LN FL 1
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Practice Fax:

Directions to “FIRST STOP URGENT CARE CENTER PSC ” Practice Location

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