Hardin County Primary Care PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

17871 Issued in KY

Legal business name

HARDIN COUNTY PRIMARY CARE PLLC

Practice address

912 Woodland Dr
Suite B
Elizabethtown, KY 42701-2795

Phone

(270) 765-5112

Fax

(270) 737-9252

NPI assigned

Feb 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mahendra M Patel, MD

Title

President

Phone

(270) 765-5112

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1124419668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 WOODLAND DR",
            "address_2": "SUITE B",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012795",
            "telephone_number": "270-765-5112",
            "fax_number": "270-737-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WOODLAND DR",
            "address_2": "SUITE B",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012795",
            "telephone_number": "270-765-5112",
            "fax_number": "270-737-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIN COUNTY PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-765-5112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "17871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17871",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve Hansel
• Nancy A Hansford
• Hardin County & Hardin County Jail
• Hardin County Board of Education
• Hardin County Imaging, LLC
• Hardin Ky Opco LLC
• Hardin Memorial Hospital
• Hardin Memorial Hospital
• Hardin Memorial Hospital
• Hardin Memorial Hospital

• Nephrology Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.