ACE CLINIQUE OF MEDICINE (NPI# 1770502791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770502791 |
| Entity Type | Organization |
| Organization Name | ACE CLINIQUE OF MEDICINE |
| Other Organization Name | ACE CLINIQUE OF MEDICINE / RADIOLOGY |
| Practice Address |
181 Roy Campbell Dr Hazard KY 41701-0000 |
| Mailing Address |
Po Box 2008 Hazard KY 41702-2008 |
| Practice Telephone | 6064396503 |
| Practice Fax Number | 6064396503 |
| Mailing Telephone | 6064396503 |
| Mailing Fax Number | 6064396503 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES A CHANEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6064396503 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 28914 | KY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAL LICENSE | 28914 | 01 |
| KY | 64289143 | 05 |
| Other Name | Type Code |
|---|---|
| Ace Clinique of Medicine / Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447278494 | Ace Clinique of Medicine | Clinical Medical Laboratory | 181 Roy Campbell Drive, Hazard, KY 41701-0000 | 2006-07-18 |
| 1306862057 | Ace Clinique of Medicine | Internal Medicine | 181 Roy Campbell Dr, Hazard, KY 41701-0000 | 2006-07-14 |
| Street Address |
181 ROY CAMPBELL DR |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245295138 | Suzanne Price | Nurse Practitioner | 181 Roy Campbell Dr, Hazard, KY 41701 | 2006-04-20 |
| 1629548342 | Melanie Dawn Erwin-pennington | Counselor | 181 Roy Campbell Dr, Hazard, KY 41701-9407 | 2018-11-26 |
| 1942792536 | Appalachian Regional Healthcare, Inc | Pharmacy | 181 Roy Campbell Dr, Hazard, KY 41701-9407 | 2018-05-31 |
| 1104221233 | Advanced Care Clinique | Internal Medicine | 181 Roy Campbell Dr, Hazard, KY 41701-9407 | 2014-10-31 |
| 1790925857 | Gregory Hoskins | Physician Assistant | 181 Roy Campbell Dr, Hazard, KY 41701-9407 | 2009-03-03 |
| 1306862057 | Ace Clinique of Medicine | Internal Medicine | 181 Roy Campbell Dr, Hazard, KY 41701-0000 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861905903 | Amy Key | Radiologic Technologist | 9304 Grandstand Ct, Louisville, KY 40291-1395 | 2017-11-12 |
| 1811327133 | Xpress Diagnostic Center Inc | Radiologic Technologist | 8600 Preston Hwy # 100, Louisville, KY 40219-5306 | 2013-11-22 |
| 1417075664 | John Adams | Radiologic Technologist | 4819 Greenvale Cir, Louisville, KY 40272-3182 | 2007-03-27 |
| 1427198639 | Bryan Borders | Radiologic Technologist | 546 Hunters Gln, Madisonville, KY 42431-8688 | 2007-02-07 |
| 1891847331 | Ultrasound Consulting Services, Inc. | Radiologic Technologist | 3001 Montavesta Rd, Lexington, KY 40502-2907 | 2007-01-17 |
| 1265489066 | Mobile Medical Resources, Inc. | Radiologic Technologist | 880 Alexandria Pike, Fort Thomas, KY 41075-4350 | 2006-05-27 |
| 1437421492 | Chanda Bernice Sams | Radiologic Technologist | 301 Cedar St, Pineville, KY 40977-1403 | 2012-02-06 |
| 1225277197 | Brenda Elaine Heimer | Radiologic Technologist | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2009-02-17 |
| 1891975272 | Bluegrass Mobile Xray Inc | Radiologic Technologist | 546 Hunters Gln, Madisonville, KY 42431-8688 | 2007-11-14 |
| 1124092721 | Central Kentucky Comprehensive Imaging and Diagnostic Services LLC | Radiologic Technologist | 225 Church St, Pikeville, KY 41501-3217 | 2006-02-13 |
| 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.