PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC (NPI# 1942275805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942275805 |
Entity Type | Organization |
Organization Name | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC |
Other Organization Name | PRIMARY CARE CENTERS OF EASTERN KENTUCKY-HAZARD |
Practice Address |
101 Town and Country Ln Suite100 Hazard KY 41701-9524 |
Mailing Address |
Po Box 1988 Hazard KY 41702 |
Practice Telephone | 6064391300 |
Practice Fax Number | 6064391400 |
Mailing Telephone | 6064357642 |
Mailing Fax Number | 6064365282 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2016-09-19 |
Authorized Official Name | MR. BARRY MARTIN (CEO) |
Authorized Official Telephone | 6064391300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900161 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100167330 | 05 |
Other Name | Type Code |
---|---|
Primary Care Centers of Eastern Kentucky-Hazard | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891841961 | Primary Care Centers of Eastern Kentucky, LLC | Clinic/Center | 21992 Main St, Hyden, KY 41749-8567 | 2007-01-25 |
1356395198 | Primary Care Centers of Eastern Kentucky, LLC | Clinic/Center | 58 West Hwy 80, Hindman, KY 41822 | 2006-05-19 |
1598930026 | Primary Care Centers of Eastern Kentucky, LLC | Dentist | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2008-04-25 |
1184676314 | Primary Care Centers of Eastern Kentucky, LLC | Clinic/Center | 317 Main St, Vicco, KY 41773-9084 | 2006-05-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC | 101 Town & Country Lane, Ste 100, Hazard, KY 41701-9524 |
Street Address |
101 TOWN AND COUNTRY LN SUITE100 |
City | HAZARD |
State | KY |
Zip Code | 41701-9524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205375409 | Amy Patricia Hurley | Nurse Practitioner | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 | 2017-02-21 |
1902349996 | Pharmacy Care Centers Clinic LLC | Pharmacy | 101 Town and Country Ln, Suite 101, Hazard, KY 41701-9524 | 2016-11-23 |
1780138511 | Pharmacy Care Center | Pharmacy | 101 Town and Country Ln, Suite 101, Hazard, KY 41701-9524 | 2016-08-10 |
1780063065 | Susan Combs | Nurse Practitioner | 101 Town and Country Ln, Suite100, Hazard, KY 41701-9524 | 2015-05-20 |
1538595111 | Mary J. Collins | Nurse Practitioner | 101 Town and Country Ln, Suite100, Hazard, KY 41701-9524 | 2013-09-16 |
1225471790 | Douglas Scott Howard | Obstetrics & Gynecology | 101 Town and Country Ln, Hazard, KY 41701-9524 | 2013-04-15 |
1982962874 | Morgan Whitney Birch | Family Medicine | 101 Town and Country Ln, Room-b440, Hazard, KY 41701-9524 | 2012-04-27 |
1801051891 | Amy Fowler | Internal Medicine | 101 Town and Country Ln, Hazard, KY 41701-9524 | 2008-07-19 |
1518092238 | Gregory Robert Baker | Dentist | 101 Town and Country Ln, Hazard, KY 41701-9524 | 2007-02-22 |
1629117882 | Elmer T. Gabbard Jr. | Dentist | 101 Town and Country Ln, Hazard, KY 41701-9524 | 2007-02-05 |
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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 | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124148648 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 200 Medical Center Drive, Hazard, KY 41701 | 2007-03-29 |
1477638880 | Mountain After Hours Clinic Psc | Clinic/Center | 1908 N Main St, Suite 120, Hazard, KY 41701-2505 | 2006-10-25 |
1730175001 | Medical Consultants of Eastern Kentucky | Clinic/Center | 108 School St, Hazard, KY 41701-1071 | 2005-09-22 |
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 |
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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.