CHRISTIAN CARDIOLOGY INTERNAL MEDICINE (NPI# 1801970439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801970439 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN CARDIOLOGY INTERNAL MEDICINE |
| Practice Address |
113 Main St Manchester KY 40962-1258 |
| Mailing Address |
113 Main St Po Box 159 Manchester KY 40962-1258 |
| Practice Telephone | 6065985807 |
| Mailing Telephone | 6065985807 |
| Mailing Fax Number | 6065998898 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS TERESA COLLATZ (ADMINISTRATOR) |
| Authorized Official Telephone | 6065985807 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65930133 | 05 |
| Street Address |
113 MAIN ST |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952671356 | Manchester Interventional Spine, LLC | Clinic/Center | 27 Bowdoin St, Manchester, ME 04351-3554 | 2012-01-03 |
| 1902112626 | Anna Sarno Ryan, M.d, P.C. | Clinic/Center | 1650 Elm St, Suite 101, Manchester, NH 03101-1217 | 2010-08-19 |
| 1033389960 | Thompson Clinic, LLC | Clinic/Center | 209 Broad St, Pob 448, Manchester, GA 31816-2112 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468147 | Mountain Health Care | Clinic/Center | 3056 Ky Route 321, Prestonsburg, KY 41653-9105 | 2020-02-09 |
| 1215276282 | Denali Iom | Clinic/Center | 1211 Griffith Ave, Owensboro, KY 42301-2816 | 2013-02-11 |
| 1548551054 | Ideal Image | Clinic/Center | 3604 Springhurst Blvd, Louisville, KY 40241-4142 | 2011-05-02 |
| 1609179589 | Paul L Patterson II Od Psc | Clinic/Center | 295 Campbellsville Byp Ste 1, Campbellsville, KY 42718-7870 | 2010-12-14 |
| 1437482072 | Ephraim Mcdowell Health Resource, Inc. | Clinic/Center | 216 West Walnut, Suite B, Danville, KY 40422-1824 | 2009-09-15 |
| 1285813469 | Chiaki Gauntt Md Pllc | Clinic/Center | 1917 S Highway 53, La Grange, KY 40031-8574 | 2007-10-24 |
| 1477767549 | Karen Eastridge LLC | Clinic/Center | 1553 Highway 44 E Ste 2, Shepherdsville, KY 40165-7183 | 2007-05-09 |
| 1760525067 | Lagrange Wellness Chiropractoc | Clinic/Center | 2005 S Highway 53 Ste C, Lagrange, KY 40031-9109 | 2007-02-15 |
| 1316441975 | Renew Recovery, LLC | Clinic/Center | 599 Freedom Park Dr, Crestview Hills, KY 41017 | 2018-03-20 |
| 1801249925 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on CHRISTIAN CARDIOLOGY INTERNAL MEDICINE.
| 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.