MCCREARY PRIMARY CARE CENTER, INC (NPI# 1497938583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497938583 |
| Entity Type | Organization |
| Organization Name | MCCREARY PRIMARY CARE CENTER, INC |
| Practice Address |
65 Center Ave Whitley City KY 42653-0000 |
| Mailing Address |
Po Box 129 Whitley City KY 42653-0000 |
| Practice Telephone | 6063762224 |
| Practice Fax Number | 6063762205 |
| Mailing Telephone | 6063762224 |
| Mailing Fax Number | 6063762205 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | MR. KENNETH E ALLISON (PRESIDENT) |
| Authorized Official Telephone | 8595784822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207R00000X | Internal Medicine | 02506 | KY | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100029190 | 05 | |
| KY | 7100300430 | 05 | |
| KY | ANTHEM | 000000597415 | 01 |
| Street Address |
65 CENTER AVE |
| City | WHITLEY CITY |
| State | KY |
| Zip Code | 42653-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492732 | Betty A Stanley | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653-4380 | 2006-01-25 |
| 1639723638 | Mccreary County Primary Care LLC | Clinic/Center | 65 Center Ave, Whitley City, KY 42653-4380 | 2019-07-29 |
| 1629561493 | Patrick Gorman Shepherd | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653 | 2018-06-07 |
| 1912403007 | Stephanie Mae Sumner | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653-4380 | 2018-04-05 |
| 1720458771 | Kimberly Margarett Brumley | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653-4380 | 2015-10-02 |
| 1184852659 | Jennifer J West | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653-4380 | 2009-06-23 |
| 1750426888 | Ruby Carol Duncan | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653-4380 | 2007-02-20 |
| 1770670028 | Michael D Perkins | Family Medicine | 65 Center Ave, Whitley City, KY 42653-4380 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1912423435 | Eric Shannon Polston | Pharmacist | 43 Medical Lane, Whitley City, KY 42653 | 2017-08-16 |
| 1588187884 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 500 N Hwy 27, Whitley City, KY 42653 | 2017-07-19 |
| 1912324609 | Dustin Hamlin | Nurse Practitioner | 1570 N. Us 27, Whitley City, KY 42653 | 2014-03-20 |
| 1548529159 | Amy Mlynn Strunk | Developmental Therapist | 10 Tobby Lane, Whitley City, KY 42653 | 2012-05-16 |
| 1275810616 | Wcps LLC | Durable Medical Equipment & Medical Supplies | 66 Center Ave, Whitley City, KY 42653 | 2011-11-14 |
| 1083905152 | Johnny Lynn Cowell | Pharmacist | 500 North Hwy 27, Whitley City, KY 42653 | 2011-04-25 |
| 1073802146 | Yhp2 LLC | Pharmacist | 1187 North Highway 27, Whitley City, KY 42653 | 2011-03-29 |
| 1760701635 | South Creek Eye Center Psc | Ophthalmology | 551 N Hwy. 27, Whitley City, KY 42653 | 2010-05-18 |
| 1134452014 | Quest Community Services, Inc | Case Management | 2901 North Hwy 1651, Whitley City, KY 42653 | 2009-09-10 |
| Find all providers in zip 42653 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1639723638 | Mccreary County Primary Care LLC | Clinic/Center | 65 Center Ave, Whitley City, KY 42653-4380 | 2019-07-29 |
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|---|---|---|---|---|
| 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 |
| 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 |
| 1700425675 | Taylor and Clifton Family Healthcare | Clinic/Center | 14 Moonbow Plz Ste 2, Corbin, KY 40701-8910 | 2019-12-24 |
| Find all providers with the same taxonomy | ||||
| City | WHITLEY CITY |
| Zip Code | 42653 |
Please comment or provide details below to improve the information on MCCREARY PRIMARY CARE CENTER, INC.
| 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.