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TRI-RIVERS HEALTHCARE PLLC NPI 1598885998


NPI Information

NPI: 1598885998
Provider Name: TRI-RIVERS HEALTHCARE PLLC

Doing Business As: SMITHLAND MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
205 E ADAIR ST
SMITHLAND, KY
ZIP 42081
Phone: (270) 928-2146
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TRI-RIVERS HEALTHCARE PLLC is a rural health clinic center in Smithland, KY. TRI-RIVERS HEALTHCARE PLLC NPI is 1598885998. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Smithland Medical Clinic.

The provider's business location address is:

205 E ADAIR ST
SMITHLAND, KY
ZIP 42081-507
Phone: (270) 928-2146
Fax: (270) 928-4492

The provider's authorized official is Michael Albin Heneisen .
The authorized official title is Agent and has the following contact phone number (270) 988-3298.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 1/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208600000XSurgeryNo
4208D00000XGeneral PracticeNo
5363LF0000XNurse PractitionerFamilyNo
6261QR1300XClinic/CenterRural Health900217KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1X46707MEDICARE UPINKENTUCKY
27890094100MEDICAIDKENTUCKY
36590103500MEDICAIDKENTUCKY
46273MEDICARE PINKENTUCKY
5183962MEDICARE OSCAR/CERTIFICATIONKENTUCKY
6CG5320MEDICARE PINKENTUCKY
77100091610MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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