TRI COUNTY HEALTH CLINIC, LLC (NPI# 1174934418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174934418 |
| Entity Type | Organization |
| Organization Name | TRI COUNTY HEALTH CLINIC, LLC |
| Practice Address |
13510 Fountain Run Rd Fountain Run KY 42133-7915 |
| Practice Telephone | 2704343100 |
| Practice Fax Number | 2704343102 |
| Mailing Telephone | 2704343100 |
| Mailing Fax Number | 2704343102 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | MR. LARRY TINSLEY (OWNER) |
| Authorized Official Telephone | 2705760176 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13510 FOUNTAIN RUN RD |
| City | FOUNTAIN RUN |
| State | KY |
| Zip Code | 42133-7915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275674061 | T.j. Samson Community Hospital-fountain Run Clinic | Clinic/Center | 47 Akersville Road, Fountain Run, KY 42133 | 2007-02-12 |
| 1013234863 | Bowling Green Warren County Community Hospital Corporation | Clinic/Center | 47 Akersville Road, Fountain Run, KY 42133-7910 | 2010-05-03 |
| 1083667661 | Deborah Settle | Nurse Practitioner | 47 Akersville Rd, Fountain Run, KY 42133-7910 | 2006-05-18 |
| 1639458326 | Brandi Alison White | Nurse Practitioner | 47 Akersville Road, Fountain Run, KY 42133-7910 | 2011-08-11 |
| 1750335287 | T J Samson Community Hospital | Clinic/Center | 47 Akersville Rd, Fountain Run, KY 42133-7910 | 2006-05-20 |
| 1821313255 | Pamela Lee | Specialist | 752 Runaway Dr, Fountain Run, KY 42133-8539 | 2010-03-29 |
| 1467854604 | John Nelson Lewis | Internal Medicine | 225 Settlers Point Rd, Fountain Run, KY 42133-8551 | 2014-09-18 |
| 1881853109 | Sherry Renee Boles | Developmental Therapist | 1853 Bewleytown Rd, Fountain Run, KY 42133-8573 | 2008-06-02 |
| 1619581766 | Olivia N Gary | Nurse Practitioner | 9321 Fountain Run Rd, Fountain Run, KY 42133-8624 | 2020-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581766 | Olivia N Gary | Nurse Practitioner | 9321 Fountain Run Rd, Fountain Run, KY 42133-8624 | 2020-09-05 |
| 1467854604 | John Nelson Lewis | Internal Medicine | 225 Settlers Point Rd, Fountain Run, KY 42133-8551 | 2014-09-18 |
| 1013234863 | Bowling Green Warren County Community Hospital Corporation | Clinic/Center | 47 Akersville Road, Fountain Run, KY 42133-7910 | 2010-05-03 |
| 1821313255 | Pamela Lee | Specialist | 752 Runaway Dr, Fountain Run, KY 42133-8539 | 2010-03-29 |
| 1881853109 | Sherry Renee Boles | Developmental Therapist | 1853 Bewleytown Rd, Fountain Run, KY 42133-8573 | 2008-06-02 |
| 1083667661 | Deborah Settle | Nurse Practitioner | 47 Akersville Rd, Fountain Run, KY 42133-7910 | 2006-05-18 |
| 1639458326 | Brandi Alison White | Nurse Practitioner | 47 Akersville Road, Fountain Run, KY 42133-7910 | 2011-08-11 |
| 1275674061 | T.j. Samson Community Hospital-fountain Run Clinic | Clinic/Center | 47 Akersville Road, Fountain Run, KY 42133 | 2007-02-12 |
| 1750335287 | T J Samson Community Hospital | Clinic/Center | 47 Akersville Rd, Fountain Run, KY 42133-7910 | 2006-05-20 |
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952785990 | Dianne Lyvers | Clinical Nurse Specialist | 1002 Johnstown Rd, Suite 200, Elizabethtown, KY 42701-3926 | 2015-07-18 |
| 1922482587 | Hope Smith | Clinical Nurse Specialist | 503 Crofton Dawson Rd, Crofton, KY 42217-8102 | 2015-07-14 |
| 1255735429 | Robert Randolph Morley II | Clinical Nurse Specialist | 1517 Nicholasville Rd Ste 201, Lexington, KY 40503-1429 | 2014-10-17 |
| 1235139312 | Jennie Stuart Medical Center | Clinical Nurse Specialist | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2005-07-29 |
| 1083613079 | Steven M Gauze | Clinical Nurse Specialist | 2160 Blacklog Rd, Suite 120, Inez, KY 41224-9019 | 2005-07-20 |
| 1326657727 | Hope's Healthcare | Clinical Nurse Specialist | 150 College St, Crofton, KY 42217-8183 | 2020-07-31 |
| 1992362982 | Michelle R. Gooslin | Clinical Nurse Specialist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2019-05-24 |
| 1952800195 | Kyla Lee Anderson | Clinical Nurse Specialist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2018-02-02 |
| 1053784017 | Peggy Janson Heuser | Clinical Nurse Specialist | 2040 Metal Ln, Louisville, KY 40206-1094 | 2015-11-12 |
| 1669841631 | Pearl Medical Care Center | Clinical Nurse Specialist | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 | 2015-09-21 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN RUN |
| Zip Code | 42133 |
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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.