Provider Type Icon

FAMILY MEDICINE CENTER PLLC NPI 1679678619


NPI Information

NPI: 1679678619
Provider Name: FAMILY MEDICINE CENTER, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D0324728

Address:
1101 SAINT CHRISTOPHER DR
SUITE 250
ASHLAND, KY
ZIP 41101
Phone: (606) 836-3196
Get Directions

FAMILY MEDICINE CENTER, PLLC is a family medicine in Ashland, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE CENTER, PLLC NPI is 1679678619. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1101 SAINT CHRISTOPHER DR
SUITE 250
ASHLAND, KY
ZIP 41101-087
Phone: (606) 836-3196
Fax: (606) 836-2564

The provider's authorized official is Jackie R Kazee .
The authorized official title is Physician Partner and has the following contact phone number (606) 836-3196.

The CLIA number assigned to this NPI record is 18D0324728 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 12/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2363LF0000XNurse PractitionerFamilyNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100149760MEDICAIDKENTUCKY
26765MEDICARE PINKENTUCKY

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: 4/28/2024

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.