PRIORITY PRIMARY CARE LLC (NPI# 1609310358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609310358 |
| Entity Type | Organization |
| Organization Name | PRIORITY PRIMARY CARE LLC |
| Practice Address |
60 Shelton Ln Russellville KY 42276-7203 |
| Mailing Address |
Po Box 1546 Russellville KY 42276-3546 |
| Practice Telephone | 2706324514 |
| Practice Fax Number | 2706324518 |
| Mailing Telephone | 2706324514 |
| Mailing Fax Number | 2706324518 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2018-03-02 |
| Authorized Official Name | KUMARASOORIYAR KUMARAVELU (OWNER) |
| Authorized Official Telephone | 2706324514 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
60 SHELTON LN |
| City | RUSSELLVILLE |
| State | KY |
| Zip Code | 42276-7203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790771954 | David L Mcclain | Nurse Practitioner | 60 Shelton Ln, Russellville, KY 42276-7203 | 2005-09-23 |
| 1154354595 | Lifeline Health Care of Kentucky #3, Inc. | Home Health | 60 Shelton Ln, Russellville, KY 42276-7203 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
| 1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
| 1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
| 1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
| Find all providers in zip 42276 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669830881 | Medexpress Littleville LLC | Clinic/Center | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2016-02-02 |
| 1548682578 | Medexpress Littleville LLC | Clinic/Center | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2014-01-10 |
| 1902145188 | Kevin Gerard Kelly | Clinic/Center | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2013-02-07 |
| 1326352873 | Lakeshore Pediatrics of Russellville, PC | Clinic/Center | 603 Gandy St Ne, Russellville, AL 35653-1911 | 2010-07-27 |
| 1932246659 | Logan Memorial Hospital LLC | Clinic/Center | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-01-31 |
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|---|---|---|---|---|
| 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 | RUSSELLVILLE |
| Zip Code | 42276 |
Please comment or provide details below to improve the information on PRIORITY PRIMARY CARE LLC.
| 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.