BEAUMONT INTEGRATED MEDICINE PSC – NPI #1619377454
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

BEAUMONT INTEGRATED MEDICINE PSC is a provider located in LEXINGTON, KY. NPPES has assigned the NPI number 1619377454 to BEAUMONT INTEGRATED MEDICINE PSC on August 29, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 11 years ago on Sep 16, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEAUMONT INTEGRATED MEDICINE PSC below.

NPI Profile for
BEAUMONT INTEGRATED MEDICINE PSC

NPI Number
1619377454
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEAUMONT INTEGRATED MEDICINE PSC
Primary location
989 GOVERNORS LN
LEXINGTON, KY 40513-1173
Phone: (859) 559-4272 Fax:
Mailing address
7980 SOLUTION CTR
CHICAGO, IL 60677-7009
Phone: (859) 559-4272 Fax:
Organization Subpart
No
Authorized Official
DANIEL VANHOOSE
ADMINISTRATOR
Phone: (859) 559-0804
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
KY 36483

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.