MAGGIES ENTERPRISES LLC (NPI# 1457480832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457480832 |
| Entity Type | Organization |
| Organization Name | MAGGIES ENTERPRISES LLC |
| Other Organization Name | LOG MOUNTAIN DIAGNOSTICS |
| Practice Address |
102 Mountain View Cmns Pineville KY 40977-8708 |
| Mailing Address |
Po Box 475 Pineville KY 40977-0475 |
| Practice Telephone | 6062697146 |
| Practice Fax Number | 6063378839 |
| Mailing Telephone | 6062697146 |
| Mailing Fax Number | 6063378839 |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | MRS. CHANDA B SAMS (OWNER) |
| Authorized Official Telephone | 6062697146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
142920 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100016810 | 05 |
| Other Name | Type Code |
|---|---|
| LOG MOUNTAIN DIAGNOSTICS | Doing Business As Name - Organization |
| Street Address |
102 MOUNTAIN VIEW CMNS |
| City | PINEVILLE |
| State | KY |
| Zip Code | 40977-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1265971709 | Matthew Scott Powers | Physical Therapist | 103 Pine St., Pineville, KY 40977 | 2017-02-16 |
| 1316343130 | Lenn Neal | Counselor | 62 Phil Gibson Rd, Pineville, KY 40977 | 2014-11-05 |
| 1508092040 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 528 W Tennessee Ave., Pineville, KY 40977 | 2009-06-10 |
| 1477710770 | Jimmie Howard | Physical Therapy Assistant | Rt 1 Box 102, Pineville, KY 40977 | 2008-05-22 |
| 1932376175 | Kenny D Maynes | Occupational Therapist | Us 25e South, Britthaven of Pineville, Pineville, KY 40977 | 2008-05-15 |
| 1487862991 | Joanne D. Corum | General Practice | Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 | 2007-05-18 |
| 1518171685 | Vivian Elesa Lasley | Contractor | Hwy 190 W, Reece Subdivision, Pineville, KY 40977 | 2007-05-09 |
| Find all providers in zip 40977 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758697 | Pineville Community Health Center Inc | Clinic/Center | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044523 | Norton Hospitals Inc | Clinic/Center | 4420 Dixie Hwy Ste 108, Louisville, KY 40216-2986 | 2020-08-18 |
| 1952935041 | Gnd Radiology Solutions, LLC | Clinic/Center | 6801 Dixie Hwy Ste 238, Louisville, KY 40258-3961 | 2020-02-27 |
| 1194077248 | Saint Joseph Health System Inc. | Clinic/Center | 1099 Duval St, Suite 150, Lexington, KY 40515-6490 | 2012-10-12 |
| 1164664330 | Pro Imaging Lexington | Clinic/Center | 523 Welllington Way, 180, Lexington, KY 40502 | 2009-04-02 |
| 1962628727 | Central Physicians Imaging | Clinic/Center | 100 Southland Dr, Suite B, Lexington, KY 40503-1927 | 2007-04-18 |
| 1538280078 | Fleming Regional Medical Imaging, Pllc | Clinic/Center | 730 Elizaville Rd, Flemingsburg, KY 41041 | 2007-04-03 |
| 1447388335 | Norton Hospitals Inc | Clinic/Center | 4960 Norton Healthcare Blvd, Louisville, KY 40241-2831 | 2007-03-01 |
| 1780751487 | Diversified Patient Resources, Inc. | Clinic/Center | 2547 Dell Rd, Louisville, KY 40205-2309 | 2006-11-29 |
| 1174697858 | Neurodiagnostics Inc. | Clinic/Center | 1725 Harrodsburg Rd Ste 100, Lexington, KY 40504-3601 | 2006-11-17 |
| 1306921309 | Quest | Clinic/Center | 2128 S Hurstbourne Pkwy, Louisville, KY 40220-1622 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAGGIES ENTERPRISES 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.