WAYNESBURG CLINIC, PLLC (NPI# 1669670816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669670816 |
| Entity Type | Organization |
| Organization Name | WAYNESBURG CLINIC, PLLC |
| Practice Address |
14098 Us Highway 27 S Waynesburg KY 40489-8253 |
| Mailing Address |
Po Box 435 Waynesburg KY 40489-0435 |
| Practice Telephone | 6063796646 |
| Practice Fax Number | 6063795707 |
| Mailing Telephone | 6063796646 |
| Mailing Fax Number | 6063795707 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2010-04-14 |
| Authorized Official Name | DR. CHRISTOPHER DUVALL SIMS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6063651547 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900205 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100019500 | 05 | |
| KY | MEDICARE PART B | 00361 | 01 |
| KY | MEDICARE PART A | 183954 | 01 |
| Street Address |
14098 US HIGHWAY 27 S |
| City | WAYNESBURG |
| State | KY |
| Zip Code | 40489-8253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437340346 | Waynesburg Clinic | Nurse Practitioner | 14098 Ky Highway 27 South, Waynesburg, KY 40489 | 2007-08-06 |
| 1053520205 | Lora Danielle Richardson | Specialist/Technologist | 462 Phillippe Road, Waynesburg, KY 40489 | 2007-05-22 |
| 1548382500 | Lincoln County Health Department | Clinic/Center | 345 Waynesburg Road, Waynesburg, KY 40489 | 2007-04-03 |
| 1477674752 | Lincoln County Health Department | Clinic/Center | 75 Tick Ridge Rd, Waynesburg, KY 40489-8202 | 2007-04-03 |
| 1063943736 | Cumberland Family Medical Center, Inc. | Clinic/Center | 75 Tick Ridge Rd, Waynesburg, KY 40489-8202 | 2017-03-24 |
| 1043741713 | Cumberland Family Medical Center, Inc. | Clinic/Center | 345 Ky Highway 328 W, Waynesburg, KY 40489-8205 | 2017-03-24 |
| 1750729265 | Tracy Lynn Singleton | Occupational Therapist | 1020 Ephesus School Rd, Waynesburg, KY 40489-9645 | 2013-06-06 |
| 1164422978 | Waynesburg Area Rescue Squad | Ambulance | 16030 Ky Highway 1247, Waynesburg, KY 40489-9704 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048831 | Mari A Michaels | In Home Supportive Care | 7810 Waynesburg Dr Se, Waynesburg, OH 44688-9798 | 2020-06-18 |
| 1225652241 | Center for Community Resources, Inc. | Community/Behavioral Health | 82 W High St, Waynesburg, PA 15370-1324 | 2020-06-05 |
| 1063040830 | Meghan Murphy-bedilion | Dietitian, Registered | 417 Bill George Drive, Waynesburg, PA 15370 | 2020-03-29 |
| 1962038737 | Luke Charles Payson | Counselor | 112 N Richhill St, Waynesburg, PA 15370-1308 | 2020-03-12 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1841821626 | Carly Ann Loughman-taft | Counselor | 115 Rohanna Ct, Waynesburg, PA 15370-3468 | 2020-01-30 |
| 1215579115 | Martha Racketa | Driver | 7785 Mottice Dr Se Apt 319, Waynesburg, OH 44688-9590 | 2019-10-11 |
| 1538728613 | Mariah Janelle Shultz | Physician Assistant | 1055 Sugar Run Rd, Waynesburg, PA 15370-3623 | 2019-06-11 |
| 1558820258 | Olivia Rose Hedge | Student in an Organized Health Care Education/Training Program | 5 W. College St., Waynesburg, PA 15370-1537 | 2019-03-13 |
| 1346708104 | Jashawn Jordan Smith | Specialist/Technologist | 77 S Morris St Apt 1b, Waynesburg, PA 15370-2051 | 2019-03-11 |
| Find all providers in WAYNESBURG | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568483089 | Washington Physician Services | Clinic/Center | 343 E Roy Furman Hwy, Waynesburg, PA 15370-8084 | 2006-07-21 |
| 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 | WAYNESBURG |
| Zip Code | 40489 |
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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.