HILLTOP PRIMARY CARE, INC (NPI# 1124084488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124084488 |
| Entity Type | Organization |
| Organization Name | HILLTOP PRIMARY CARE, INC |
| Practice Address |
7617 Upper Johns Creek Rd Suite 100 Phelps KY 41553-8775 |
| Mailing Address |
Po Box 1433 Pikeville KY 41502-1433 |
| Practice Telephone | 6068359333 |
| Practice Fax Number | 6068359997 |
| Mailing Telephone | 6068359333 |
| Mailing Fax Number | 6068359997 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | DR. JAMES HAGER (CEO) |
| Authorized Official Telephone | 6062186011 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900167 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 35001973 | 05 | |
| KY | 45001880 | 05 | |
| KY | 78903309 | 05 |
| Street Address |
7617 UPPER JOHNS CREEK RD SUITE 100 |
| City | PHELPS |
| State | KY |
| Zip Code | 41553-8775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043848468 | Ashley Brook Charles | Nurse Practitioner | 7617 Upper Johns Creek Rd, Phelps, KY 41553-8775 | 2020-03-31 |
| 1134186612 | Geraline Hatfield | Nurse Practitioner | 7617 Upper Johns Creek Rd, Suite 100, Phelps, KY 41553-8775 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386894905 | Pike County Health Department Phelps High | Public Health or Welfare | 11580 Hwy 632, Phelps, KY 41553 | 2008-09-19 |
| 1376793992 | Pike County Health Department Phelps Elementary | Public Health or Welfare | 38029 St Hwy 194 East, Phelps, KY 41553 | 2008-09-19 |
| 1639205735 | Pike County Health Department Phelps | Public Health or Welfare | 38217 State Hwy 194e, Phelps, KY 41553 | 2007-02-26 |
| 1528073111 | Citizens Drug Inc | Pharmacy | 13380 Phelps 632 Rd, Phelps, KY 41553 | 2006-07-30 |
| 1831703867 | Henrietta Lynn Sullivan | Technician | 167 Billy Dotson Br, Phelps, KY 41553-8514 | 2020-09-08 |
| 1083262349 | Lawanna Lanae Mcguire | Nurse Practitioner | 76 Church Br, Phelps, KY 41553-8553 | 2019-08-29 |
| 1518046994 | Mansoor Mahmood | Internal Medicine | 48 Phillips Branch Rd, Box 1085, Phelps, KY 41553-9061 | 2006-11-04 |
| 1104813880 | Presbyterian Homes and Services of Kentucky, Inc | Skilled Nursing Facility | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2005-09-29 |
| 1487252672 | Alexis Briona Hayes | Nurse Practitioner | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2020-10-12 |
| 1477101889 | Phelps Ky Opco LLC | Skilled Nursing Facility | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2019-08-28 |
| Find all providers in zip 41553 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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.