PINEVILLE MEDICAL CENTER, LLC (NPI# 1912497405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912497405 |
| Entity Type | Organization |
| Organization Name | PINEVILLE MEDICAL CENTER, LLC |
| Other Organization Name | PCH MEDICAL CLINIC |
| Practice Address |
850 Riverview Ave Pineville KY 40977-1452 |
| Practice Telephone | 6063373051 |
| Practice Fax Number | 6063372871 |
| Mailing Telephone | 6063373051 |
| Mailing Fax Number | 6063372871 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | KEVIN COUCH (CONTROLLER) |
| Authorized Official Telephone | 6063373051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PCH Medical Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811487317 | Pineville Medical Center, LLC | Skilled Nursing Facility | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1720578214 | Pineville Medical Center, LLC | Psychiatric Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1568952059 | Pineville Medical Center, LLC | Nurse Anesthetist, Certified Registered | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1003306598 | Pineville Medical Center, LLC | Home Health | 121 W Virginia Ave, Pineville, KY 40977-1661 | 2018-05-10 |
| 1013406529 | Pineville Medical Center, LLC | General Acute Care Hospital | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1629568126 | Pineville Medical Center, LLC | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1093205593 | Pineville Medical Center, LLC | Clinic/Center | 121 W Virginia Ave, Pineville, KY 40977-1661 | 2018-05-10 |
| 1538659032 | Pineville Medical Center, LLC | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1174013676 | Pineville Medical Center, LLC | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| Street Address |
850 RIVERVIEW AVE |
| City | PINEVILLE |
| State | KY |
| Zip Code | 40977-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174539803 | Carol L Ayers | Pharmacist | 850 Riverview Ave, Pineville, KY 40977-1452 | 2006-08-01 |
| 1578194890 | Pineville Er Services | Clinic/Center | 850 Riverview Ave, Pineville, KY 40977-1452 | 2020-01-27 |
| 1194371419 | Whitney Jeree Gann | Nurse Practitioner | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-08-13 |
| 1093374837 | Pineville Community Health Center Inc | Home Health | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1275192015 | Pineville Community Health Center Inc | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1043879885 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1639738479 | Pineville Community Health Center Inc | Skilled Nursing Facility | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1831758697 | Pineville Community Health Center Inc | Clinic/Center | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1801455647 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1538728373 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1265971709 | Matthew Scott Powers | Physical Therapist | 103 Pine St., Pineville, KY 40977 | 2017-02-16 |
| 1316343130 | Lenn Neal | Counselor | 62 Phil Gibson Rd, Pineville, KY 40977 | 2014-11-05 |
| 1508092040 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 528 W Tennessee Ave., Pineville, KY 40977 | 2009-06-10 |
| 1477710770 | Jimmie Howard | Physical Therapy Assistant | Rt 1 Box 102, Pineville, KY 40977 | 2008-05-22 |
| 1932376175 | Kenny D Maynes | Occupational Therapist | Us 25e South, Britthaven of Pineville, Pineville, KY 40977 | 2008-05-15 |
| 1487862991 | Joanne D. Corum | General Practice | Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 | 2007-05-18 |
| 1518171685 | Vivian Elesa Lasley | Contractor | Hwy 190 W, Reece Subdivision, Pineville, KY 40977 | 2007-05-09 |
| Find all providers in zip 40977 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407156177 | Ali Groun Surek | Internal Medicine | 1015 Retreat St. W., Pineville, LA 71360-4094 | 2010-10-28 |
| 1629263991 | Steven K. Morgan, M.d Psc | Internal Medicine | 222 W Tennessee Ave, Pineville, KY 40977-1737 | 2007-09-10 |
| 1427254358 | Narcisa Del Jesus Intriago | Internal Medicine | 100 Pinecrest Dr., Pineville, LA 71360-4276 | 2007-06-26 |
| 1760522668 | Robyn T Ray | Internal Medicine | Meadow Ln., Clsh Unit 6 - Wing D, Pineville, LA 71360 | 2007-02-08 |
| 1699863613 | Satnam Singh | Internal Medicine | 242 West Shamrock St., Pineville, LA 71360 | 2006-10-11 |
| 1346352242 | Jose F. Andino | Internal Medicine | Shreveport Hwy., Pineville, LA 71360 | 2006-08-31 |
| 1043320765 | Alejandro Penzo | Internal Medicine | 352 Hospital Blvd., Pineville, LA 71361-5352 | 2006-08-30 |
| 1265445845 | Jerry L. Woolum, M.d., P.s.c. | Internal Medicine | 121 Virginia Avenue, Suite F200, Pineville, KY 40977 | 2006-08-14 |
| 1033121017 | Martha C Combs-woolum | Internal Medicine | 251 S Pine St, Pineville, KY 40977-1646 | 2006-08-11 |
| 1831159102 | Farley K Tumbaco | Internal Medicine | 3200 Monroe Hwy Ste 150, Pineville, LA 71360-4294 | 2006-03-23 |
| Find all providers in PINEVILLE | ||||
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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.