USIMC OF WEST VIRGINIA MEDICAL CORPORATION (NPI# 1104317734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104317734 |
Entity Type | Organization |
Organization Name | USIMC OF WEST VIRGINIA MEDICAL CORPORATION |
Other Organization Name | L & N LIVINGWELL HEALTH CLINIC |
Practice Address |
908 W Broadway Fl 8 Louisville KY 40203 |
Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
Practice Telephone | 5027796015 |
Practice Fax Number | 5025895258 |
Enumeration Date | 2018-05-18 |
Last Update Date | 2020-07-20 |
Authorized Official Name | DR. JAMES M THIEL (PRESIDENT) |
Authorized Official Telephone | 8444077557 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
L & N LivingWell Health Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033694732 | Usimc of West Virginia Medical Corporation | Clinic/Center | 2203 5th Street Rd, Huntington, WV 25701-9311 | 2018-09-27 |
1609369024 | Usimc of West Virginia Medical Corporation | Clinic/Center | 4600 Houston Rd, Florence, KY 41042-4820 | 2018-06-11 |
1417307877 | Usimc of West Virginia Medical Corporation | Clinic/Center | 200 Mero St, Room 140, Frankfort, KY 40601-1920 | 2016-06-16 |
1316397797 | Usimc of West Virginia Medical Corporation | Clinic/Center | 702 Capital Ave, Room 040, Frankfort, KY 40601-3448 | 2016-06-16 |
1417307893 | Usimc of West Virginia Medical Corporation | Clinic/Center | 500 Mero Mezzanine, Frankfort, KY 40622-0001 | 2016-06-16 |
1346610094 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 | 2015-10-06 |
1144633892 | Usimc of West Virginia Medical Corporation | Clinic/Center | 381 Southwood Court, Bowling Green, KY 42101-7513 | 2014-06-10 |
1962834218 | Usimc of West Virginia Medical Corporation | Clinic/Center | 100 Magellan Way, Mail Zone Kwgd, Covington, KY 41015-1987 | 2013-08-08 |
1528345675 | Usimc of West Virginia Medical Corporation | Clinic/Center | 25 Atlantic Ave, Erlanger, KY 41018-3151 | 2011-11-03 |
1306178165 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3707 Buffalo Rd, Buffalo, WV 25033-9436 | 2010-02-04 |
Street Address |
908 W BROADWAY FL 8 |
City | LOUISVILLE |
State | KY |
Zip Code | 40203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295211738 | Integrated Health Systems LLC | Psychiatry & Neurology | 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 | 2018-07-18 |
1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
1699053694 | Bobby Farmer | Massage Therapist | 931 South 3rd St., Louisville, KY 40203 | 2011-07-26 |
Find all providers in zip 40203 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
1366996449 | Ecare, P.s.c. | Clinic/Center | 9201 Linn Station Rd, Louisville, KY 40222-5726 | 2016-08-06 |
1386019495 | Advanced Diagnostic Fna Biopsy Clinic, LLC | Clinic/Center | 400 S. Mccaslin Blvd., Suite 213, Louisville, CO 80027 | 2015-12-01 |
1265606222 | Kort-kentucky Orthopedic Rehab Team | Clinic/Center | 3901 Dutchmans Ln Ste 104, Louisville, KY 40207-4726 | 2008-04-21 |
1144405770 | C. Douglas Hensley | Clinic/Center | 305b Middletown Park Pl, Louisville, KY 40243-2514 | 2008-01-02 |
1881896710 | Hafendorfer, Pllc | Clinic/Center | 10629 Henning Way, 6, Louisville, KY 40241-2085 | 2007-06-04 |
1922124148 | Evans Chiropractic Psc | Clinic/Center | 3071 Breckenridge Ln, Louisville, KY 40220-2101 | 2007-03-21 |
1063561702 | Kentucky Easter Seal Society Inc | Clinic/Center | 9810 Bluegrass Parkway, Louisville, KY 40299 | 2007-01-10 |
1366941171 | Coal Creek Diagnostics, LLC | Clinic/Center | 315 W South Boulder Rd Ste 100, Louisville, CO 80027-1157 | 2018-02-07 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40203 |
Please comment or provide details below to improve the information on USIMC OF WEST VIRGINIA MEDICAL CORPORATION.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.