Organization
PHYSICIANS MEDICAL CENTER LLC
Active
Other names
PMC Urgent Care and Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HENRY (CREDENTIALING SPECIALIST)
(812) 590-6936
Entity
Organization
Contact information
Practice address
1006 NEW MOODY LN, LA GRANGE, KY 40031
(502) 222-0028
(502) 222-0029
Mailing address
4023 REAS LANE, ATTN: CREDENTIALING, NEW ALBANY, IN 47150-2228
(812) 590-6936
(812) 913-4338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/05/2017
Last updated
08/01/2018
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