PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC (NPI# 1891841961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891841961 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC |
| Other Organization Name | PRIMARY CARE CENTERS OF EASTERN KENTUCKY-HYDEN |
| Practice Address |
21992 Main St Hyden KY 41749-8567 |
| Mailing Address |
Po Box 1988 Hazard KY 41702-1988 |
| Practice Telephone | 6066725200 |
| Mailing Telephone | 6064391300 |
| Mailing Fax Number | 6064391400 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | MS. MELANIE LUTTRELL (CREDENTIALING COLLECTIONS MGR) |
| Authorized Official Telephone | 6064357643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100028160 | 05 |
| Other Name | Type Code |
|---|---|
| Primary Care Centers of Eastern Kentucky-Hyden | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356395198 | Primary Care Centers of Eastern Kentucky, LLC | Clinic/Center | 58 West Hwy 80, Hindman, KY 41822 | 2006-05-19 |
| 1942275805 | Primary Care Centers of Eastern Kentucky, LLC | Clinic/Center | 101 Town and Country Ln, Suite100, Hazard, KY 41701-9524 | 2006-02-22 |
| 1598930026 | Primary Care Centers of Eastern Kentucky, LLC | Dentist | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2008-04-25 |
| 1184676314 | Primary Care Centers of Eastern Kentucky, LLC | Clinic/Center | 317 Main St, Vicco, KY 41773-9084 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC | 101 Town & Country Lane, Ste 100, Hazard, KY 41701-9524 |
| Street Address |
21992 MAIN ST |
| City | HYDEN |
| State | KY |
| Zip Code | 41749-8567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306104047 | Pinnacle Health Management, LLC | Clinical Medical Laboratory | 21992 Main St, Suite 2, Hyden, KY 41749-8567 | 2012-05-01 |
| 1902941800 | East Kentucky Chiropractic of Hyden | Chiropractor | 21992 Main St, Hyden, KY 41749-8567 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417706 | Jerrica Sizemore | Occupational Therapist | 21040 Us-421, Hyden, KY 41749 | 2018-05-18 |
| 1356864623 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21287 Hwy 421, Hyden, KY 41749 | 2017-07-19 |
| 1629527304 | Jacob Charles Williams | Pharmacist | 21287 Highway 421, Hyden, KY 41749 | 2016-09-23 |
| 1063766012 | Mag Medical | Nurse Practitioner | 21154 Hwy 421, Hyden, KY 41749 | 2012-10-30 |
| 1811277973 | Richard B Morgan | Pharmacist | 21154 Highway 421 South, Hyden, KY 41749 | 2011-08-22 |
| 1245522747 | Ma Angelica Sunga Buenaventura | Pharmacist | 21154 Highway 421, Hyden, KY 41749 | 2011-05-03 |
| 1598097362 | Teresia Davidson-griffith | Counselor | 28 Firehouse Lane, Hyden, KY 41749 | 2010-02-04 |
| 1740411826 | Rebecca Ann Burkhardt | Pharmacist | 22044 Main St., Hyden, KY 41749 | 2009-08-06 |
| 1104000447 | Doris Smith-whitaker | Social Worker | 28 Fire House Lane, Hyden, KY 41749 | 2007-12-21 |
| 1861671851 | Tracey Angela Grigsby | Dietitian, Registered | 40 Moore Lane, Hyden, KY 41749 | 2007-10-26 |
| Find all providers in zip 41749 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073898102 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 130 Kate Ireland Dr, Hyden, KY 41749-9071 | 2011-10-20 |
| 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.