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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