FIRST YOU MEDICAL CENTER PLLC (NPI# 1841397056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841397056 |
| Entity Type | Organization |
| Organization Name | FIRST YOU MEDICAL CENTER PLLC |
| Practice Address |
151 E Broadway St Eminence KY 40019-1149 |
| Mailing Address |
Po Box 124 Eminence KY 40019-0124 |
| Practice Telephone | 5028456288 |
| Practice Fax Number | 8883102675 |
| Mailing Telephone | 5025930083 |
| Mailing Fax Number | 8883102675 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-11-27 |
| Authorized Official Name | SHANNA STIVERS DAVE (MEMBER/OWNER) |
| Authorized Official Telephone | 5025930083 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900262 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000184588 | 01 |
| KY | PASSPORT | 1132401 | 01 |
| KY | 7100244840 | 05 | |
| KY | PASSPORT ADVANTAGE | 2437746001 | 01 |
| KY | RAILROAD MEDICARE | CK7832 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841358876 | First You Medical Center Pllc | Family Medicine | 18 Alexander Ave, Unit 1, Bedford, KY 40006-1114 | 2006-12-04 |
| Street Address |
151 E BROADWAY ST |
| City | EMINENCE |
| State | KY |
| Zip Code | 40019-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881648913 | Phillip B Herrell | Physical Therapist | 151 E Broadway St, Ste B, Eminence, KY 40019-1149 | 2006-05-22 |
| 1619250131 | Qiyu Huang | Nurse Practitioner | 151 E Broadway St, Eminence, KY 40019-1149 | 2011-09-21 |
| 1528163995 | Christopher J. Cooper | Physician Assistant | 151 E Broadway St, Eminence, KY 40019-1149 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154693141 | Tessa D. Marie Puckett | Physical Therapist | 151 E Broadway St Ste B, Eminence, KY 40019 | 2012-02-06 |
| 1851434765 | Tim J Lee | Chiropractor | 4667 North Main St, Eminence, KY 40019 | 2007-02-14 |
| 1679539449 | Henry County County Treasurer | Ambulance | 716 S Property Rd, Eminence, KY 40019 | 2006-04-21 |
| 1710976352 | Kenneth A. Gardner | Family Medicine | 150 Fairview Court, Eminence, KY 40019 | 2005-10-17 |
| 1831503358 | Erica Ryan Sparks | Dentist | 105 Eminence Ter, Eminence, KY 40019 | 2014-06-12 |
| 1952722449 | Henry Pharmacist Group, LLC | Durable Medical Equipment & Medical Supplies | 5551 S Main St, Eminence, KY 40019 | 2013-12-30 |
| 1912973116 | Robert D Hazard | Physician Assistant | 150 Fairview Court, Eminence, KY 40019 | 2006-02-27 |
| 1578903142 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4894 N Main St, Eminence, KY 40019-1018 | 2013-06-27 |
| 1568503704 | Cupp Chiropractic Center, Inc | Chiropractor | 4824 N Main St, Eminence, KY 40019-1018 | 2007-02-09 |
| 1497896294 | Bruce Frederick Cupp | Chiropractor | 4824 N Main St, Eminence, KY 40019-1018 | 2007-02-12 |
| Find all providers in zip 40019 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477728244 | Dale Family Medicine | Clinic/Center | 106 Highway West, Eminence, MO 65466 | 2008-04-23 |
| 1073951273 | Mercy St Francis Hospital | Clinic/Center | Highway 19 South, Eminence, MO 65466 | 2013-06-10 |
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| 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 |
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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.