MAYSVILLE MEDICAL, LLC (NPI# 1730691189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730691189 |
| Entity Type | Organization |
| Organization Name | MAYSVILLE MEDICAL, LLC |
| Other Organization Name | MAYSVILLE MEDICAL, LLC |
| Practice Address |
152 E 2nd St Maysville KY 41056-1264 |
| Mailing Address |
1317 Route 73 Mount Laurel NJ 08054-2202 |
| Practice Telephone | 6065640303 |
| Mailing Telephone | 8565338762 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Authorized Official Name | MS. ROBYN TANIS (EXEC DIRECTOR CONTRACT MANAGEMENT) |
| Authorized Official Telephone | 8565338762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maysville Medical, LLC | Other Name - Individual/Organization |
| Street Address |
152 E 2ND ST |
| City | MAYSVILLE |
| State | KY |
| Zip Code | 41056-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762895 | Kathryn Haire | Dentist | 507 Market Place Drive, Maysville, KY 41056 | 2020-08-26 |
| 1700380375 | Tina Kinney | Nurse Practitioner | 420 W Martin Luther King Hwy, Maysville, KY 41056 | 2018-03-20 |
| 1760901227 | Judith I Marks | Home Health Aide | 211 Houston Ave, Maysville, KY 41056 | 2017-09-15 |
| 1205292299 | Mari Campbell | Physical Therapy Assistant | 479 Tucker Drive, Maysville, KY 41056 | 2016-01-07 |
| 1548545353 | Fit 'n' Trim, Ltd | Dietary Manager | 901 Us 68, Suite 200, Maysville, KY 41056 | 2011-10-13 |
| 1194962696 | Susan L Mccoy | Occupational Therapist | 300 Wood St. #231, Maysville, KY 41056 | 2009-01-21 |
| 1033321930 | Mason Co Health Dept. | Public Health or Welfare | 130 East Second Street, Maysville, KY 41056 | 2007-05-04 |
| 1477671428 | Brown & Payne Home Medical Inc | Durable Medical Equipment & Medical Supplies | 13 East 2nd Street, Maysville, KY 41056 | 2007-03-27 |
| 1760522296 | Mason County Schools | Local Education Agency (LEA) | 34 East Second and Limestone Streets, Maysville, KY 41056 | 2007-02-07 |
| 1275687337 | Buffalo Trace Childrens Advocacy Center | Voluntary or Charitable | 224 Limestone Street, Maysville, KY 41056 | 2007-01-23 |
| Find all providers in zip 41056 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053823492 | Carroll Counseling, LLC | Clinic/Center | 539a 11th St, Carrollton, KY 41008-1463 | 2017-10-25 |
| 1720590177 | Simpson Treatment, LLC | Clinic/Center | 2714 Nashville Rd, Franklin, KY 42134-7845 | 2017-10-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1871027854 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1402a Browns Ln, Louisville, KY 40207-4609 | 2017-04-17 |
| 1083148076 | Etown Addiction Solutions, LLC | Clinic/Center | 2645 Leitchfield Rd Ste 104, Elizabethtown, KY 42701-8306 | 2017-04-17 |
| 1669905857 | Daviess Treatment Services LLC | Clinic/Center | 3032 Us Highway 60 E, Owensboro, KY 42303-0288 | 2017-04-05 |
| 1063824381 | Georgetown Medical, LLC | Clinic/Center | 105 Eastside Dr, Suites A, B, and C, Georgetown, KY 40324-9797 | 2014-05-21 |
| 1619395605 | Western Ky Medical, LLC | Clinic/Center | 609 Hammond Plz, Hopkinsville, KY 42240-4971 | 2014-04-07 |
| 1578986345 | Bhg Xxxiv, LLC | Clinic/Center | 967 S. Highway 25 W, Corbin, KY 40701-4543 | 2014-01-29 |
| 1912553959 | Eastern Point of Recovery | Clinic/Center | 253 Hager Br, East Point, KY 41216-8766 | 2019-08-15 |
| 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.