USIMC OF WEST VIRGINIA MEDICAL CORPORATION (NPI# 1609369024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609369024 |
Entity Type | Organization |
Organization Name | USIMC OF WEST VIRGINIA MEDICAL CORPORATION |
Other Organization Name | LIVE WELL AT CITI MEDICAL CLINIC |
Practice Address |
4600 Houston Rd Florence KY 41042-4820 |
Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
Practice Telephone | 8592833613 |
Practice Fax Number | 8592833721 |
Enumeration Date | 2018-06-11 |
Last Update Date | 2018-06-11 |
Authorized Official Name | DR. MARIANNE LINDROTH (PRESIDENT) |
Authorized Official Telephone | 6154686248 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Live Well at Citi Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033694732 | Usimc of West Virginia Medical Corporation | Clinic/Center | 2203 5th Street Rd, Huntington, WV 25701-9311 | 2018-09-27 |
1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
1417307877 | Usimc of West Virginia Medical Corporation | Clinic/Center | 200 Mero St, Room 140, Frankfort, KY 40601-1920 | 2016-06-16 |
1316397797 | Usimc of West Virginia Medical Corporation | Clinic/Center | 702 Capital Ave, Room 040, Frankfort, KY 40601-3448 | 2016-06-16 |
1417307893 | Usimc of West Virginia Medical Corporation | Clinic/Center | 500 Mero Mezzanine, Frankfort, KY 40622-0001 | 2016-06-16 |
1346610094 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 | 2015-10-06 |
1144633892 | Usimc of West Virginia Medical Corporation | Clinic/Center | 381 Southwood Court, Bowling Green, KY 42101-7513 | 2014-06-10 |
1962834218 | Usimc of West Virginia Medical Corporation | Clinic/Center | 100 Magellan Way, Mail Zone Kwgd, Covington, KY 41015-1987 | 2013-08-08 |
1528345675 | Usimc of West Virginia Medical Corporation | Clinic/Center | 25 Atlantic Ave, Erlanger, KY 41018-3151 | 2011-11-03 |
1306178165 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3707 Buffalo Rd, Buffalo, WV 25033-9436 | 2010-02-04 |
Street Address |
4600 HOUSTON RD |
City | FLORENCE |
State | KY |
Zip Code | 41042-4820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
Find all providers in zip 41042 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1184843948 | Northington Clinic, P.C. | Clinic/Center | 1945 Florence Blvd, Florence, AL 35630-2729 | 2007-04-24 |
1982774378 | Peacehealth | Clinic/Center | 380 9th St, Florence, OR 97439-9470 | 2006-11-09 |
1013957521 | Jon H. Docherty, Md | Clinic/Center | 514 S Dargan St, Suite G, Florence, SC 29506-2552 | 2006-06-07 |
1578552402 | Peacehealth | Clinic/Center | 400 9th St, Florence, OR 97439-7398 | 2005-10-13 |
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1992312847 | Crossover Health Medical Group | Clinic/Center | 544 Conestoga Pkwy Ste 3, Shepherdsville, KY 40165-5676 | 2020-09-24 |
1861028268 | Uofl Health-louisville Inc | Clinic/Center | 1903 W. Hebron Ln, Shepherdsville, KY 40165-7425 | 2020-03-17 |
1962036210 | Emerge Rehab & Wellness,llc | Clinic/Center | 3501 Fenwick Park Pl Apt F, Louisville, KY 40220-5844 | 2020-02-25 |
1952940215 | Kentucky Center for Regenerative Medicine, LLC | Clinic/Center | 4010 Dupont Cir Ste 203, Louisville, KY 40207-4847 | 2020-01-03 |
1669010112 | Chs Tennessee Medical P C | Clinic/Center | 1070 Smith Grove Rd, Scottsville, KY 42164-9444 | 2019-12-16 |
1336790302 | Advamed Health LLC | Clinic/Center | 301 Wendell Way, London, KY 40741-2064 | 2019-09-21 |
1538653639 | Eastern Kentucky Recovery, LLC | Clinic/Center | 5860 Main St Ste B, Clay City, KY 40312-1319 | 2018-06-21 |
1982117271 | Triad Health Systems, Inc. | Clinic/Center | 2340 Highway 22 E, Owenton, KY 40359-9176 | 2017-11-09 |
1700313293 | Complete Laser Clinic of Louisville, LLC | Clinic/Center | 3000 Fern Valley Rd, Louisville, KY 40213-3522 | 2017-05-16 |
1356898373 | Baptist Health Employer Solutions, Inc | Clinic/Center | 2501 Nelson Miller Pkwy Ste 102, Louisville, KY 40223-2221 | 2016-09-07 |
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.