FREDERICK MEDICAL CLINIC, PSC (NPI# 1194829812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194829812 |
| Entity Type | Organization |
| Organization Name | FREDERICK MEDICAL CLINIC, PSC |
| Practice Address |
430 Liberty Rd West Liberty KY 41472-2049 |
| Mailing Address |
Po Box 607 West Liberty KY 41472-0607 |
| Practice Telephone | 6067433114 |
| Practice Fax Number | 6067431404 |
| Mailing Telephone | 6067433114 |
| Mailing Fax Number | 6067431404 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-04-11 |
| Authorized Official Name | MR. JAMES DENZIL FREDERICK (ADMINISTRATION MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6067433114 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
183940 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 35002013 | 05 | |
| KY | 7100150550 | 05 |
| Street Address |
430 LIBERTY RD |
| City | WEST LIBERTY |
| State | KY |
| Zip Code | 41472-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629180690 | Melissa Lynn Frederick | Nurse Practitioner | 430 Liberty Rd, West Liberty, KY 41472 | 2006-08-31 |
| 1851844518 | Brittany L Engle | Nurse Practitioner | 430 Liberty Rd, West Liberty, KY 41472-2049 | 2016-07-29 |
| 1881798502 | James Denzil Frederick | Family Medicine | 430 Liberty Rd, West Liberty, KY 41472 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811888 | Pamela Whitt | Technician | 2935 Redwine Road, West Liberty, KY 41472 | 2019-09-27 |
| 1356907224 | United Clinics of Kentucky LLC | Clinic/Center | 633 Prestonsburg St, West Liberty, KY 41472 | 2019-05-15 |
| 1740608033 | Air Evac Ems Inc. | Ambulance | 118 Medical Circle, West Liberty, KY 41472 | 2014-04-03 |
| 1114059581 | West Liberty Elementary | Public Health or Welfare | Route 5, West Liberty, KY 41472 | 2007-03-12 |
| 1306978762 | East Valley Elementary | Public Health or Welfare | 7585 Hwy 172, West Liberty, KY 41472 | 2007-03-12 |
| 1780716159 | Gateway District Health Department | Public Health or Welfare | 493 Riverside Dr, West Liberty, KY 41472 | 2007-03-12 |
| 1013049386 | Morgan Co Middle School | Public Health or Welfare | 380 Road 6 Success, West Liberty, KY 41472 | 2007-03-12 |
| 1457483729 | Morgan Co High School | Public Health or Welfare | 150 Road To Success, West Liberty, KY 41472 | 2007-03-12 |
| 1205979887 | Morgan County Board of Education | Local Education Agency (LEA) | 460 Prestonsburg Street, West Liberty, KY 41472 | 2007-02-14 |
| 1306985734 | Lesa Keaton Mattingly | Pharmacist | 412 Liberty Road, West Liberty, KY 41472 | 2007-02-05 |
| Find all providers in zip 41472 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356907224 | United Clinics of Kentucky LLC | Clinic/Center | 633 Prestonsburg St, West Liberty, KY 41472 | 2019-05-15 |
| 1780043927 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 1084 Highway 7, Suite 2, West Liberty, KY 41472-7146 | 2016-02-16 |
| 1083895395 | Kimmy Goyal | Clinic/Center | 4879 Us Route 68 South, West Liberty, OH 43357 | 2007-11-15 |
| 1982648010 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 476 Liberty Road, West Liberty, KY 41472 | 2006-06-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WEST LIBERTY |
| Zip Code | 41472 |
Please comment or provide details below to improve the information on FREDERICK MEDICAL CLINIC, PSC.
| 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.