FYI HEALTHCARE CLINIC PLLC NPI 1619258498

NPI Information

NPI: 1619258498
Provider Name: FYI HEALTHCARE CLINIC, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 18D2035214

Address:
1219 N MAIN ST
SUITE 101
BEAVER DAM, KY
ZIP 42320
Phone: (270) 274-0638
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FYI HEALTHCARE CLINIC, PLLC is a family nurse practitioner in Beaver Dam, KY. FYI HEALTHCARE CLINIC, PLLC NPI is 1619258498. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1219 N MAIN ST
SUITE 101
BEAVER DAM, KY
ZIP 42320-955
Phone: (270) 274-0638
Fax: (270) 274-5600

The provider's authorized official is Susan Smith Rice .
The authorized official title is Co-owner and has the following contact phone number (270) 274-0638.

The CLIA number assigned to this NPI record is 18D2035214 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2011 and was last updated on 9/7/2011.

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
1	2083X0100X	Preventive Medicine	Occupational Medicine	13394	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3003830	KENTUCKY	Yes

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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