PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC


Address: 101 Town and Country Ln, Suite100, Hazard, KY 41701-9524
Phone: 6064391300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
900161 KY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100167330 05

Other Provider/Organization Names

Other Name Type Code
Primary Care Centers of Eastern Kentucky-Hazard Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 101 TOWN AND COUNTRY LN
SUITE100
City HAZARD
State KY
Zip Code 41701-9524

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City HAZARD
Zip Code 41701

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Dataset Information

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.

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