EAST KY HEALTH SERVICE CENTER (NPI# 1871150649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871150649 |
| Entity Type | Organization |
| Organization Name | EAST KY HEALTH SERVICE CENTER |
| Practice Address |
566 Highway 899 # 849 Hindman KY 41822-8955 |
| Mailing Address |
Po Box 849 Hindman KY 41822-0849 |
| Practice Telephone | 6067853164 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Authorized Official Name | BENNY RAY BAILEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6067853164 |
| Authorized Official Credential | PH D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65924300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376648139 | East Ky Health Service Center | Clinic/Center | 566 Highway 899, Hindman, KY 41822-0849 | 2006-09-14 |
| Street Address |
566 HIGHWAY 899 # 849 |
| City | HINDMAN |
| State | KY |
| Zip Code | 41822-8955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326316100 | Lisa Triplett-short, Dmd, Psc | Dentist | 1970 Highway 160 S, Hindman, KY 41822 | 2011-12-07 |
| 1457633687 | Tcct LLC | Pharmacy | 90 B Roger Combs Blvd, Hindman, KY 41822 | 2011-09-14 |
| 1497071245 | Paula Mosley | Counselor | 125 Cowtown Road, Hindman, KY 41822 | 2010-04-19 |
| 1164657797 | Laferty Chiropractic, Pllc | Chiropractor | 792 South Hwy 160, Hindman, KY 41822 | 2009-05-27 |
| 1871763581 | East Kentucky Health Service | Clinic/Center | 566 Hwy 899, Hindman, KY 41822 | 2008-03-10 |
| 1366611832 | University of Kentucky | Pharmacy | 59 Cowtown Rd, Hindman, KY 41822 | 2008-02-28 |
| 1356535611 | Kentucky River District Health Department | Public Health or Welfare | 1966 S. Hwy 160, Hindman, KY 41822 | 2007-08-30 |
| 1457545808 | Kentucky River District Health Department | Public Health or Welfare | 238 Highway 160, Hindman, KY 41822 | 2007-08-29 |
| 1275731051 | Kentucky River District Health Department | Public Health or Welfare | 76 Patriot Lane, Hindman, KY 41822 | 2007-07-03 |
| 1467650242 | Kentucky River District Health Department | Public Health or Welfare | 875 West Main Street, Hindman, KY 41822 | 2007-07-03 |
| Find all providers in zip 41822 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184862088 | Stacy Ritchie | Physician Assistant | 566 Hwy 899, Hindman, KY 41822 | 2009-01-30 |
| 1811903529 | Kevin Davis | Physician Assistant | 70 Holly Hills Mall Rd, Hindman, KY 41822-9121 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364335 | Ryan Williamson | Physician Assistant | 1149 Delaney Ferry Rd, Nicholasville, KY 40356-8727 | 2020-07-27 |
| 1811518541 | Autumn Rose Ballard | Physician Assistant | 141 Mallard Dr, Frankfort, KY 40601-8647 | 2020-05-05 |
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1437704921 | Daniel Lee Mullins | Physician Assistant | 122 Travis Way, Georgetown, KY 40324-0500 | 2019-08-02 |
| 1629533310 | Michelle Ladanyi | Physician Assistant | 1140 Lexington Rd Ste 102, Georgetown, KY 40324-9330 | 2019-02-06 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1255788725 | Affinity Health Care Psc | Physician Assistant | 22055 Main St, Hyden, KY 41749-8568 | 2016-05-15 |
| 1629459912 | Ephraim Mcdowell Health Resources,inc | Physician Assistant | 92 Jt Petty Drive, Ste 300, Russell Springs, KY 42642 | 2015-06-12 |
| 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.