USIMC OF WEST VIRGINIA MEDICAL CORPORATION


Address: 381 Southwood Court, Bowling Green, KY 42101-7513
Phone: 2797935390

USIMC OF WEST VIRGINIA MEDICAL CORPORATION (NPI# 1144633892) 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) 1144633892
Entity Type Organization
Organization Name USIMC OF WEST VIRGINIA MEDICAL CORPORATION
Other Organization Name HENKEL HEALTHCARE CENTER
Practice Address 381 Southwood Court
Bowling Green
KY 42101-7513
Mailing Address 5500 Maryland Way Ste 120
Brentwood
TN 37027-4993
Practice Telephone 2797935390
Practice Fax Number 2794935396
Enumeration Date 2014-06-10
Last Update Date 2020-07-20
Authorized Official Name DR. JAMES M THIEL (PRESIDENT)
Authorized Official Telephone 8444077557
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Henkel Healthcare Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033694732 Usimc of West Virginia Medical Corporation Clinic/Center 2203 5th Street Rd, Huntington, WV 25701-9311 2018-09-27
1609369024 Usimc of West Virginia Medical Corporation Clinic/Center 4600 Houston Rd, Florence, KY 41042-4820 2018-06-11
1104317734 Usimc of West Virginia Medical Corporation Clinic/Center 908 W Broadway Fl 8, Louisville, KY 40203 2018-05-18
1417307877 Usimc of West Virginia Medical Corporation Clinic/Center 200 Mero St, Room 140, Frankfort, KY 40601-1920 2016-06-16
1316397797 Usimc of West Virginia Medical Corporation Clinic/Center 702 Capital Ave, Room 040, Frankfort, KY 40601-3448 2016-06-16
1417307893 Usimc of West Virginia Medical Corporation Clinic/Center 500 Mero Mezzanine, Frankfort, KY 40622-0001 2016-06-16
1346610094 Usimc of West Virginia Medical Corporation Clinic/Center 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 2015-10-06
1962834218 Usimc of West Virginia Medical Corporation Clinic/Center 100 Magellan Way, Mail Zone Kwgd, Covington, KY 41015-1987 2013-08-08
1528345675 Usimc of West Virginia Medical Corporation Clinic/Center 25 Atlantic Ave, Erlanger, KY 41018-3151 2011-11-03
1306178165 Usimc of West Virginia Medical Corporation Clinic/Center 3707 Buffalo Rd, Buffalo, WV 25033-9436 2010-02-04

Office Location

Street Address 381 SOUTHWOOD COURT
City BOWLING GREEN
State KY
Zip Code 42101-7513

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922608827 Heidi Denise Estes Nurse Practitioner 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 2020-10-29
1205476561 Emily Nell Conner Pharmacist 350 West Us 31 Bypass, Bowling Green, KY 42101 2020-01-14
1598304180 Elizabeth Page Appling Nurse Practitioner 1681 Normal Dr., Bowling Green, KY 42101 2019-12-30
1598306227 Heather Wells Nurse Practitioner 427 U.S. 31w Bypass, Bowling Green, KY 42101 2019-10-03
1275182255 The Kidz Club-pdn, LLC Nursing Care 1537 Highway 185, Suite 3, Bowling Green, KY 42101 2019-09-11
1841756525 Balance Therapeutic Care, Counseling Services LLC Counselor 661 A, 31-w Bypass, Bowling Green, KY 42101 2019-02-18
1184104895 Paige Spear Specialist 661 Us 31w Byp Ste C, Bowling Green, KY 42101 2018-08-21
1205364411 Amanda Katherin Walden Dentist 725 A Kenton Street, Bowling Green, KY 42101 2017-06-01
1932632098 Tj & L Consulting, LLC In Home Supportive Care 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 2017-04-06
1265974117 Kentucky Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1473 Kentucky Street, Bowling Green, KY 42101 2016-11-09
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1881252534 Freedom Bridge To Recovery Multicare LLC Clinic/Center 1711 Destiny Ln, Bowling Green, KY 42104-1066 2019-05-29
1760547103 C Fred Gott M.d. Clinic/Center 191 W Professional Park Ct, Bowling Green, KY 42104-3230 2006-12-26
1962462382 Physician Management Services Psc Clinic/Center 427 Us 31w Byp, Bowling Green, KY 42101-1703 2006-03-28

Providers in the same taxonomy and state

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1992312847 Crossover Health Medical Group Clinic/Center 544 Conestoga Pkwy Ste 3, Shepherdsville, KY 40165-5676 2020-09-24
1861028268 Uofl Health-louisville Inc Clinic/Center 1903 W. Hebron Ln, Shepherdsville, KY 40165-7425 2020-03-17
1962036210 Emerge Rehab & Wellness,llc Clinic/Center 3501 Fenwick Park Pl Apt F, Louisville, KY 40220-5844 2020-02-25
1952940215 Kentucky Center for Regenerative Medicine, LLC Clinic/Center 4010 Dupont Cir Ste 203, Louisville, KY 40207-4847 2020-01-03
1669010112 Chs Tennessee Medical P C Clinic/Center 1070 Smith Grove Rd, Scottsville, KY 42164-9444 2019-12-16
1336790302 Advamed Health LLC Clinic/Center 301 Wendell Way, London, KY 40741-2064 2019-09-21
1538653639 Eastern Kentucky Recovery, LLC Clinic/Center 5860 Main St Ste B, Clay City, KY 40312-1319 2018-06-21
1609369024 Usimc of West Virginia Medical Corporation Clinic/Center 4600 Houston Rd, Florence, KY 41042-4820 2018-06-11
1982117271 Triad Health Systems, Inc. Clinic/Center 2340 Highway 22 E, Owenton, KY 40359-9176 2017-11-09
1700313293 Complete Laser Clinic of Louisville, LLC Clinic/Center 3000 Fern Valley Rd, Louisville, KY 40213-3522 2017-05-16
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Competitor

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City BOWLING GREEN
Zip Code 42101

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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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