FAMILY PRACTICE CLINIC OF BOONEVILLE, INC. (NPI# 1326152109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326152109 |
Entity Type | Organization |
Organization Name | FAMILY PRACTICE CLINIC OF BOONEVILLE, INC. |
Practice Address |
200 Mulberry St Suite A Booneville KY 41314-7505 |
Mailing Address |
Po Box 737 200 Mulberry Street, Suite A Booneville KY 41314-0737 |
Practice Telephone | 6065936023 |
Practice Fax Number | 6065936087 |
Mailing Telephone | 6065936023 |
Mailing Fax Number | 6065936087 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2015-12-22 |
Authorized Official Name | KIM COX (OWNER OPERATOR) |
Authorized Official Telephone | 6065936023 |
Authorized Official Credential | APRN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100159610 | 05 |
Street Address |
200 MULBERRY ST SUITE A |
City | BOONEVILLE |
State | KY |
Zip Code | 41314-7505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558919936 | Megan Gross | Physical Therapist | 6585 Ky 30 E, Booneville, KY 41314 | 2019-08-29 |
1598117640 | Emily Jordan Kidd Parsons | Speech-Language Pathologist | 20 County Barn Road, Booneville, KY 41314 | 2016-07-12 |
1710386503 | Jessica Neace | Nurse Practitioner | 826 Ky Hwy 11 N, Booneville, KY 41314 | 2014-08-18 |
1477982650 | B & H Apothecary LLC | Pharmacy | 99 Ky 11 South, Booneville, KY 41314 | 2013-11-07 |
1497038988 | Matthew Carrico | Pharmacist | 478 Hwy 11 North, Booneville, KY 41314 | 2011-09-21 |
1528298643 | Complete Care Pharmacy of Booneville | Pharmacy | 737 Mulberry Street, Booneville, KY 41314 | 2009-07-23 |
1053557660 | Booneville Family Dentistry | Dentist | 706 North Courthouse Square, Booneville, KY 41314 | 2009-01-02 |
1063610665 | Kentucky River District Health Department | Public Health or Welfare | Highway 28 Shepherds Lane, Booneville, KY 41314 | 2007-07-05 |
1366645640 | Kentucky River District Health Department | Public Health or Welfare | Ky Hwy 28, Booneville, KY 41314 | 2007-06-06 |
1770790941 | Eddie Duff | Pharmacist | Hwy 11 North, Booneville, KY 41314 | 2007-05-17 |
Find all providers in zip 41314 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427486794 | Mercy Hospital Booneville | Clinic/Center | 128 Daniel Avenue, Booneville, AR 72927 | 2013-10-24 |
1285150672 | Access Medical Clinic Arkansas LLC | Clinic/Center | 871 W Main St, Booneville, AR 72927 | 2017-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
1316553167 | Flaget Healthcare Inc | Clinic/Center | 2387 Main St, Willisburg, KY 40078-8102 | 2020-09-17 |
1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
1154950699 | Family Health Care Associates 6 Limited Liability Company | Clinic/Center | 8070 Us Highway 60 W, Lewisport, KY 42351-7087 | 2020-04-06 |
1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
Find all providers with the same taxonomy |
City | BOONEVILLE |
Zip Code | 41314 |
Please comment or provide details below to improve the information on FAMILY PRACTICE CLINIC OF BOONEVILLE, INC..
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.