BROCK MEDICAL, LLC (NPI# 1548822489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548822489 |
Entity Type | Organization |
Organization Name | BROCK MEDICAL, LLC |
Other Organization Name | FIRST CARE CLINICS |
Practice Address |
2520 S Highway 27 Somerset KY 42501-3055 |
Mailing Address |
Po Box 5802 Carol Stream IL 60197-5802 |
Practice Telephone | 6064165719 |
Practice Fax Number | 6064165486 |
Enumeration Date | 2019-07-01 |
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 |
1366003550 | Brock Medical, LLC | Clinic/Center | 15100 N Us Highway 25 E Ste 1, Corbin, KY 40701-6449 | 2019-06-27 |
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 |
Street Address |
2520 S HIGHWAY 27 |
City | SOMERSET |
State | KY |
Zip Code | 42501-3055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
Find all providers in zip 42501 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
1023155462 | Lake Cumberland Regional Hospital LLC | Clinic/Center | 305 Langdon St, Somerset, KY 42503-2750 | 2007-02-01 |
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 |
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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.