SMITH'S HOMETOWN FAMILY PRACTICE, LLC (NPI# 1275934614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275934614 |
| Entity Type | Organization |
| Organization Name | SMITH'S HOMETOWN FAMILY PRACTICE, LLC |
| Practice Address |
359 Old Us Highway 421 Manchester KY 40962-7538 |
| Practice Telephone | 6065998905 |
| Practice Fax Number | 6065990354 |
| Mailing Telephone | 6065998905 |
| Mailing Fax Number | 6065990354 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | SHAWANA M.L. SMITH (OWNER) |
| Authorized Official Telephone | 6065998905 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3006073 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100100870 | 05 | |
| KY | CAQH | 11996475 | 01 |
| Street Address |
359 OLD US HIGHWAY 421 |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-7538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134559768 | Manchester Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 359 Old Us Highway 421, Manchester, KY 40962-7538 | 2013-11-18 |
| 1184266603 | Sarah M Burchell | Pharmacist | 359 Old Us Highway 421, Manchester, KY 40962-7538 | 2019-10-16 |
| 1083256614 | Express Care Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 359 Old Us Highway 421, Manchester, KY 40962-7538 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659842565 | Physiotherapy Associates, Inc. | Clinic/Center | 2977 Manchester Rd Ste A, Manchester, MD 21102-1802 | 2018-12-17 |
| 1598955999 | Jeremy and Summer Anderson | Clinic/Center | 1911 Mcarthur St, Manchester, TN 37355-2688 | 2007-07-31 |
| 1962803460 | Memorial Hospital, Inc. | Clinic/Center | 65 Glenndale Rd, Suite 2, Manchester, KY 40962-6212 | 2014-09-16 |
| 1952635690 | Anderson Eye Care, Pllc | Clinic/Center | 1642 Mcarthur St, Manchester, TN 37355-2522 | 2009-09-29 |
| 1053562116 | Veternan's Adminstrative Medical Center | Clinic/Center | 718 Smyth Rd, Manchester, NH 03104-7007 | 2008-10-08 |
| 1003082447 | Manchester Eye Care Center, P.C. | Clinic/Center | 110 Riverside Dr, Manchester, MI 48158-9776 | 2008-05-06 |
| 1780730267 | Community Child Guidance Clinic, Inc. | Clinic/Center | 317 N Main St, Manchester, CT 06042-2007 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1083192595 | Carson Black Lung Center of Pineville, Inc. | Clinic/Center | 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452 | 2018-08-06 |
| 1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1245747674 | Phaup Chiropractic Center, LLC | Clinic/Center | 95 Ymca Dr Ste A, Madisonville, KY 42431-9035 | 2018-01-08 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1740717818 | Jones-o'neal Enterprises, Pllc | Clinic/Center | 135 Morgan St, Versailles, KY 40383-1428 | 2017-05-18 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on SMITH'S HOMETOWN FAMILY PRACTICE, LLC.
| 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.