BROCK MEDICAL, LLC


Address: 15100 N Us Highway 25 E Ste 1, Corbin, KY 40701-6449
Phone: 6062612054

BROCK MEDICAL, LLC (NPI# 1366003550) 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) 1366003550
Entity Type Organization
Organization Name BROCK MEDICAL, LLC
Other Organization Name FIRST CARE CLINICS
Practice Address 15100 N Us Highway 25 E Ste 1
Corbin
KY 40701-6449
Mailing Address Po Box 5802
Carol Stream
IL 60197-5802
Practice Telephone 6062612054
Practice Fax Number 6062612074
Enumeration Date 2019-06-27
Last Update Date 2019-08-19
Authorized Official Name ANDREW MICHAEL DEANE (VP OF FINANCE)
Authorized Official Telephone 6156003478
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
First Care Clinics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326600974 Brock Medical, LLC Clinic/Center 230 N Green St, Henderson, KY 42420-3109 2019-07-03
1548822489 Brock Medical, LLC Clinic/Center 2520 S Highway 27, Somerset, KY 42501-3055 2019-07-01
1497290878 Brock Medical, LLC Clinic/Center 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 2016-12-21
1023379815 Brock Medical, LLC Nurse Practitioner 1752 Highway 192 W, Suite 1, London, KY 40741-1675 2012-06-07

Office Location

Street Address 15100 N US HIGHWAY 25 E STE 1
City CORBIN
State KY
Zip Code 40701-6449

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740880640 Kristie Lynn Hale Nurse Practitioner 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 2020-10-29
1376014183 Ruth Ann Thornhill Nurse Practitioner 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 2018-12-06
1770066136 Grace Community Health Center, Inc. Psychologist 50 Ed Mcneel Drive, Corbin, KY 40701 2018-09-12
1235610353 Linda Bales Occupational Therapist 112 Commonwealth Avenue, Corbin, KY 40701 2018-08-27
1710465398 Holly Davina Bingham Counselor 1203 Amercn Grtg Card Rd, Corbin, KY 40701 2018-08-05
1881134914 Angie Mossie Ledford Nurse Practitioner 521 Cumberland Gap Parkway #1, Corbin, KY 40701 2017-03-08
1669915609 Energized Therapy Occupational Therapist 702 Phillips Lane, Corbin, KY 40701 2016-11-23
1649635293 Debra Ann Hipsher Counselor 967 South Hwy 25 West, Corbin, KY 40701 2015-12-28
1356729438 Sean William James Family Medicine 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 2015-05-11
1962847285 Angela Davidson Gabbard Dentist 129 S. Hwy 1223, Corbin, KY 40701 2013-04-30
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700425675 Taylor and Clifton Family Healthcare Clinic/Center 14 Moonbow Plz Ste 2, Corbin, KY 40701-8910 2019-12-24
1629694005 Kentucky Family Medicine Clinic/Center 706 Maynor St, Corbin, KY 40701-1777 2020-06-22
1720573934 Baptist Health Medical Group Inc Clinic/Center 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 2018-06-29
1871083253 Aanand Healthcare Pllc Clinic/Center 1013 Master St, Corbin, KY 40701-1065 2018-05-11
1134385230 Corbin Rural Health Center Pllc Clinic/Center 1013 Master St, Corbin, KY 40701-1065 2008-07-29

Providers in the same taxonomy and state

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
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Competitor

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City CORBIN
Zip Code 40701

Improve Information

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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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