BROCK MEDICAL, LLC (NPI# 1497290878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497290878 |
| Entity Type | Organization |
| Organization Name | BROCK MEDICAL, LLC |
| Other Organization Name | FIRST CARE CLINICS |
| Practice Address |
2955 Fort Campbell Blvd Hopkinsville KY 42240-4901 |
| Mailing Address |
1100 Kennedy Brasher Rd. Greenville KY 42345 |
| Practice Telephone | 2706321548 |
| Practice Fax Number | 2706321572 |
| Mailing Telephone | 6183043825 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | ANDREW MICHAEL DEANE (VP OF FINANCE) |
| Authorized Official Telephone | 6156003478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| First Care Clinics | Doing Business As Name - Organization |
| 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 |
| 1366003550 | Brock Medical, LLC | Clinic/Center | 15100 N Us Highway 25 E Ste 1, Corbin, KY 40701-6449 | 2019-06-27 |
| 1023379815 | Brock Medical, LLC | Nurse Practitioner | 1752 Highway 192 W, Suite 1, London, KY 40741-1675 | 2012-06-07 |
| Street Address |
2955 FORT CAMPBELL BLVD |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241935 | Holly N Kirtley | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2020-09-28 |
| 1851903405 | Gabrielle Harris | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2020-08-17 |
| 1316556780 | Sara Allen | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2020-07-30 |
| 1013549716 | Kayla Brooke Creekmur | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2020-02-10 |
| 1285106377 | Patricia Linn Gibson | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2018-12-30 |
| 1407321144 | Lorenetta Louise Graves | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240 | 2018-10-09 |
| 1689184939 | Margo Caitlin Pickens | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2017-10-01 |
| 1699205476 | Marcy Dawn Mabry | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851324297 | Gamma Acquisition, Inc. | Clinic/Center | 210 Burley Ave, Suite A, Hopkinsville, KY 42240-8725 | 2006-07-09 |
| 1174091763 | Baptist Health Medical Group Inc | Clinic/Center | 500 Clinic Dr, Hopkinsville, KY 42240-4991 | 2018-11-13 |
| 1447708805 | Fairview Physicians Network, LLC | Clinic/Center | 223 Burley Ave, Hopkinsville, KY 42240-8725 | 2016-09-14 |
| 1134672447 | Fairview Physicians Network, LLC | Clinic/Center | 1717 High St, Suite 4b, Hopkinsville, KY 42240-6300 | 2016-08-03 |
| 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 | HOPKINSVILLE |
| Zip Code | 42240 |
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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.