Organization
CHOICE MEDICAL CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J JARVIS M.D. (PRESIDENT OWNER)
(270) 688-0900
Entity
Organization
Contact information
Practice address
815 E PARRISH AVE, SUITE 330, OWENSBORO, KY 42303-3222
(270) 688-0900
(270) 685-0050
Mailing address
815 E PARRISH AVE, SUITE 330, OWENSBORO, KY 42303-3222
(270) 688-0900
(270) 685-0050
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
15139
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041803
ANTHEM BCBS
—
01
—
104357
BLACK LUNG
—
01
—
1524493
UMWA
—
05
—
200154350A
—
IN
05
—
65929275
—
KY
Enumeration date
07/19/2005
Last updated
12/07/2010
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