MADISON COUNTY CLINIC (NPI# 1720389430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720389430 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY CLINIC |
| Practice Address |
946 Commercial Dr Unit 3 Richmond KY 40475-3431 |
| Mailing Address |
2212 Carrington Ct Lexington KY 40513-1234 |
| Practice Telephone | 8596240074 |
| Practice Fax Number | 8596240071 |
| Mailing Telephone | 8596240074 |
| Mailing Fax Number | 8596240071 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |
| Authorized Official Name | SYED SHAH (PHYSICIAN) |
| Authorized Official Telephone | 6062268466 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
946 COMMERCIAL DR UNIT 3 |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538417860 | Reid Physician Associates, Inc | Clinic/Center | 1250 Chester Blvd Ste 2, Richmond, IN 47374-1944 | 2012-08-16 |
| 1205909207 | Marti M Cowherd | Clinic/Center | 701 Wollard Blvd, Richmond, MO 64085-2206 | 2006-11-16 |
| 1891799177 | Rose Bowling, LLC | Clinic/Center | 2161 Lexington Rd, Richmond, KY 40475-7952 | 2005-06-02 |
| 1831744176 | Baptist Health Medical Group Inc | Clinic/Center | 648 University Shopping Ctr, Richmond, KY 40475-2614 | 2019-08-05 |
| 1558916890 | Baptist Health Medical Group Inc | Clinic/Center | 793 Eastern Byp Ste 201, Richmond, KY 40475-2440 | 2019-08-05 |
| 1740758325 | Baptist Health Medical Group Inc | Clinic/Center | 107 Meridian Way Ste 200, Richmond, KY 40475-2878 | 2018-11-13 |
| 1679053581 | Family Care Clinic Pllc | Clinic/Center | 3190 Irvine Rd, Richmond, KY 40475-9031 | 2018-08-20 |
| 1467811786 | Meritas Health Corporation | Clinic/Center | 902 Wollard Blvd, Richmond, MO 64085-2229 | 2016-02-15 |
| 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.