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Organization
PHYSICIANS AFFILIATED CARE P.S.C.
Active
Organization
PHYSICIANS AFFILIATED CARE P.S.C.
Active
Other names
Gastrointestinal Endoscopy Center of Owensboro
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER BOARMAN (BILLING MANAGER)
(270) 926-2273
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE, BUILDING A, OWENSBORO, KY 42303-1449
(270) 926-2273
(270) 926-5200
Mailing address
PO BOX 1919, OWENSBORO, KY 42302-1919
(270) 926-2273
(270) 926-5200
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333384
ANTHEM BC/BS
KY
05
—
200491020A
—
IN
05
—
36001345
—
KY
Enumeration date
06/25/2006
Last updated
12/12/2016
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