APPALACHIAN COMMUNITY CARE CENTER LLC (NPI# 1124532874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124532874 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN COMMUNITY CARE CENTER LLC |
| Practice Address |
255 Church St Ste 100 Pikeville KY 41501-3499 |
| Practice Telephone | 6064325660 |
| Practice Fax Number | 6064322738 |
| Mailing Telephone | 6064325660 |
| Mailing Fax Number | 6064322738 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | LOVONNE RICHARDSON (CEO) |
| Authorized Official Telephone | 6064325660 |
| Authorized Official Credential | PHD, LPCC, NCC, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
255 CHURCH ST STE 100 |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-3499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902816549 | Wayne R. Edwards | Family Medicine | 255 Church St Ste 100, Pikeville, KY 41501-3499 | 2006-08-08 |
| 1205499175 | Fazal and Associates Pllc | Psychiatry & Neurology | 255 Church St Ste 100, Pikeville, KY 41501-3499 | 2019-04-17 |
| 1184129876 | Allison Nicole Brewer | Nurse Practitioner | 255 Church St Ste 100, Pikeville, KY 41501-3499 | 2018-03-26 |
| 1366946626 | Erica La'shae Thacker | Counselor | 255 Church St Ste 100, Pikeville, KY 41501-3499 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962475301 | Kentucky Pain Physicians, Psc | Clinic/Center | 7160 North Mayo Trail, Pikeville, KY 41501-0000 | 2006-02-08 |
| 1063970648 | Appalachian Care Center, LLC | Clinic/Center | 8015 Millard Hwy, Pikeville, KY 41501-8106 | 2019-03-04 |
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| 1992312847 | Crossover Health Medical Group | Clinic/Center | 544 Conestoga Pkwy Ste 3, Shepherdsville, KY 40165-5676 | 2020-09-24 |
| 1861028268 | Uofl Health-louisville Inc | Clinic/Center | 1903 W. Hebron Ln, Shepherdsville, KY 40165-7425 | 2020-03-17 |
| 1962036210 | Emerge Rehab & Wellness,llc | Clinic/Center | 3501 Fenwick Park Pl Apt F, Louisville, KY 40220-5844 | 2020-02-25 |
| 1952940215 | Kentucky Center for Regenerative Medicine, LLC | Clinic/Center | 4010 Dupont Cir Ste 203, Louisville, KY 40207-4847 | 2020-01-03 |
| 1669010112 | Chs Tennessee Medical P C | Clinic/Center | 1070 Smith Grove Rd, Scottsville, KY 42164-9444 | 2019-12-16 |
| 1336790302 | Advamed Health LLC | Clinic/Center | 301 Wendell Way, London, KY 40741-2064 | 2019-09-21 |
| 1538653639 | Eastern Kentucky Recovery, LLC | Clinic/Center | 5860 Main St Ste B, Clay City, KY 40312-1319 | 2018-06-21 |
| 1609369024 | Usimc of West Virginia Medical Corporation | Clinic/Center | 4600 Houston Rd, Florence, KY 41042-4820 | 2018-06-11 |
| 1982117271 | Triad Health Systems, Inc. | Clinic/Center | 2340 Highway 22 E, Owenton, KY 40359-9176 | 2017-11-09 |
| 1700313293 | Complete Laser Clinic of Louisville, LLC | Clinic/Center | 3000 Fern Valley Rd, Louisville, KY 40213-3522 | 2017-05-16 |
| Find all providers with the same taxonomy | ||||
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| 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.