Organization
PMR KY HOLDING, LLC
Active
Parent organization
PMR KY HOLDING, LLC
Other names
Jencare Neighborhood Medical Center Shivley, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PMR KY HOLDING, LLC
Authorized official
MARY CHEN (EXECUTIVE OFFICER)
(305) 628-6117
Entity
Organization
Contact information
Practice address
3939 7TH STREET RD, LOUISVILLE, KY 40216-4103
(502) 775-1211
(502) 775-1221
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
07/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us