KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC. (NPI# 1346874054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346874054 |
| Entity Type | Organization |
| Organization Name | KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC. |
| Practice Address |
100 Tyler Ln Irvine KY 40336-8827 |
| Mailing Address |
309 Spangler Dr Richmond KY 40475-2457 |
| Practice Telephone | 6065312012 |
| Mailing Telephone | 8596242046 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | RUTH A WOOLUM (PROJECT DIRECTOR) |
| Authorized Official Telephone | 6066639011 |
| Is Organization Subpart | Y |
| Parent Organization Name | KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Foothills Behavioral Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912917543 | Kentucky River Foothills Development Council, Inc. | Clinic/Center | 209 River Dr, Irvine, KY 40336-1142 | 2006-08-08 |
| 1366713000 | Kentucky River Foothills Development Council, Inc. | Clinic/Center | 108 12th St, Clay City, KY 40312-8979 | 2012-01-25 |
| Street Address |
100 TYLER LN |
| City | IRVINE |
| State | KY |
| Zip Code | 40336-8827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174672083 | Charlotte L Garber | Counselor | 100 Tyler Ln, Irvine, KY 40336-8827 | 2007-01-09 |
| 1780039537 | Mallory Brezeale | Social Worker | 100 Tyler Ln, Irvine, KY 40336-8827 | 2016-04-29 |
| 1386029304 | Jessica Nicole Tazelaar | Social Worker | 100 Tyler Ln, Irvine, KY 40336-8827 | 2015-07-21 |
| 1750561205 | Heather A Vanderoef | Psychologist | 100 Tyler Ln, Irvine, KY 40336-8827 | 2007-11-13 |
| 1811042666 | Theresa G Schumacher | Counselor | 100 Tyler Ln, Irvine, KY 40336-8827 | 2007-01-24 |
| 1780739276 | Robert L Starling | Counselor | 100 Tyler Ln, Irvine, KY 40336-8827 | 2007-01-24 |
| 1184774549 | Lynn D Hymer | Counselor | 100 Tyler Ln, Irvine, KY 40336-8827 | 2007-01-10 |
| 1891845251 | Tammie R Hamlin | Psychologist | 100 Tyler Ln, Irvine, KY 40336-8827 | 2007-01-10 |
| 1376693895 | Kristin T Brake | Registered Nurse | 100 Tyler Ln, Irvine, KY 40336-8827 | 2007-01-10 |
| 1255480315 | Keith S Feck | Psychologist | 100 Tyler Ln, Irvine, KY 40336-8827 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
| 1790076156 | Jan Andrea Brandenburg | Pharmacist | 110 Richmond Road, Irvine, KY 40336 | 2011-04-20 |
| 1427283647 | Health Help Incorporated | Clinic/Center | 30 Stacy Lane Road, Irvine, KY 40336 | 2009-05-18 |
| 1003037375 | Bluegrass Cardiology Psc | Internal Medicine | 60 Mercy Court, Irvine, KY 40336 | 2007-05-02 |
| 1770705873 | Herbert W Long | Clinic/Center | 417 River Drive, Irvine, KY 40336 | 2007-05-02 |
| 1255478053 | Lisa M Ford | Dentist | 161 Richmond Rd, Irvine, KY 40336 | 2007-01-31 |
| 1750468047 | Jason W Gay | Dentist | 10 River Drive, Irvine, KY 40336 | 2006-11-01 |
| 1184718702 | Lawrence Edward Griesinger IIi | Psychologist | 100 Tyler Lane, Irvine, KY 40336 | 2006-10-03 |
| 1407235666 | Emergency Medicine Physicians of Estill County,pllc | Physician Assistant | 60 Mercy Ct, Irvine, KY 40336 | 2015-05-21 |
| 1013198753 | Kristy Lee Bledsoe | Dietitian, Registered | 365 River Drive, Irvine, KY 40336-0115 | 2007-11-23 |
| Find all providers in zip 40336 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1053946038 | Korean Community Services Inc. | Clinic/Center | 19742 Macarthur Blvd Ste 250, Irvine, CA 92612-2488 | 2020-03-10 |
| 1427283647 | Health Help Incorporated | Clinic/Center | 30 Stacy Lane Road, Irvine, KY 40336 | 2009-05-18 |
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| 1053926394 | A Plus Family Healthcare LLC | Clinic/Center | 220 Wildcat Way, Brownsville, KY 42210-9032 | 2020-09-14 |
| 1174138689 | A Plus Family Healthcare LLC | Clinic/Center | 5720 Ky Highway 259 N, Sweeden, KY 42285-7106 | 2020-09-11 |
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| 1639797665 | Cumberland Family Medical Center, Inc. | Clinic/Center | 478 Whirlaway Drive, Suite 200, Davnille, KY 40422-9037 | 2020-07-07 |
| 1275160376 | Cumberland Family Medical Center, Inc. | Clinic/Center | 323 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-26 |
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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.