RINEYVILLE FAMILY MEDICAL CLINIC LLC (NPI# 1922576768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922576768 |
| Entity Type | Organization |
| Organization Name | RINEYVILLE FAMILY MEDICAL CLINIC LLC |
| Practice Address |
423 Crume Rd Vine Grove KY 40175-1130 |
| Mailing Address |
89 Jake Dr Rineyville KY 40162-9462 |
| Practice Telephone | 2709001236 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | JESSI LLOYD (OWNER) |
| Authorized Official Telephone | 2709001236 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100476030 | 05 |
| Street Address |
423 CRUME RD |
| City | VINE GROVE |
| State | KY |
| Zip Code | 40175-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134249378 | Kenneth E Bewley | Dentist | 423 Crume Rd, Vine Grove, KY 40175-1130 | 2007-03-30 |
| 1891949590 | Jeremy David Bewley | Dentist | 423 Crume Rd, Vine Grove, KY 40175-1130 | 2008-11-07 |
| 1598975971 | Shannon Polly Johnson | Dentist | 423 Crume Rd, Vine Grove, KY 40175-1130 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093021248 | Jamie Lynn Seymour | Speech-Language Pathologist | 101 Crume Rd, Vine Grove, KY 40175 | 2010-08-25 |
| 1053500298 | Christina Diahann Cundiff | Social Worker | 104 Debbie Drive, Vine Grove, KY 40175 | 2007-10-23 |
| 1407077266 | Bridget Louise Marnell | Specialist/Technologist | 925 Hickory Dr, Vine Grove, KY 40175 | 2007-05-01 |
| 1023115664 | Elizabeth Duque | Family Medicine | Ireland Army Health Clinic, 851 Ireland Ave, Fort Knox, KY 40175 | 2006-09-17 |
| 1306005251 | Holly Samantha Sheroan | Speech-Language Pathologist | 922 Hickory Dr, Vine Grove, KY 40175-1020 | 2008-06-05 |
| 1154661981 | Chatterbox Therapy Services | Speech-Language Pathologist | 922 Hickory Dr, Vine Grove, KY 40175-1020 | 2013-02-14 |
| 1467735514 | James T. Alton Middle School Satelite Clinic | Public Health or Welfare | 100 Country Club Rd, Vine Grove, KY 40175-1169 | 2011-09-26 |
| 1154891562 | Cumberland Family Medical Center, Inc. | Nurse Practitioner | 100 Country Club Rd, Vine Grove, KY 40175-1169 | 2018-11-28 |
| 1902235682 | Ashley Nicole Raisor | Occupational Therapy Assistant | 504 Eileen Ct, Vine Grove, KY 40175-1174 | 2013-11-04 |
| 1194297820 | Cumberland Family Medical Center, Inc. | Clinic/Center | 309 First St, Vine Grove, KY 40175-1178 | 2018-12-19 |
| Find all providers in zip 40175 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1598383572 | Enhance The Aesthetic & Wellness Co. | Clinic/Center | 801 Country Club Ln, Hopkinsville, KY 42240-1370 | 2020-07-07 |
| 1679192611 | Temple Triage Pllc | Clinic/Center | 8209 Pennsylvania Run Rd, Louisville, KY 40228-2143 | 2020-04-09 |
| 1154966778 | Member Medical, Inc. | Clinic/Center | 3046 Dolphin Dr Ste 104, Elizabethtown, KY 42701-7182 | 2019-11-07 |
| 1104384213 | Directcare Family Health, Pllc | Clinic/Center | 525 High St Ste 209, Paris, KY 40361-1849 | 2019-03-07 |
| 1407311194 | Quad/med, LLC | Clinic/Center | 739 S Dixie St, Horse Cave, KY 42749 | 2019-02-06 |
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1134606403 | Hope Primary & Urgent Care Pllc | Clinic/Center | 2157 S Highway 27, Stearns, KY 42647-6297 | 2018-07-19 |
| 1780177618 | Access Med, Pllc | Clinic/Center | 642 E Lexington Ave, Danville, KY 40422-1719 | 2018-06-14 |
| 1447743760 | Remedy House Calls | Clinic/Center | 37 Christopher Dr, South Shore, KY 41175-9447 | 2018-06-12 |
| 1932611019 | Family Care Professional Limited Liability Company | Clinic/Center | 3190 Irvine Rd., Richmond, KY 40475-4047 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
| City | VINE GROVE |
| Zip Code | 40175 |
Please comment or provide details below to improve the information on RINEYVILLE FAMILY MEDICAL CLINIC LLC.
| 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.