MOUNTAIN HEART CENTER PSC NPI 1104831775

NPI Information

  • NPI: 1104831775
  • Provider Name: MOUNTAIN HEART CENTER, PSC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 714 JENKINS RD
    WHITESBURG, KY
    ZIP 41858
  • Phone: (606) 633-5520

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NPI Details

MOUNTAIN HEART CENTER, PSC is a cardiovascular disease internal medicine in Whitesburg, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MOUNTAIN HEART CENTER, PSC NPI is 1104831775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

714 JENKINS RD
WHITESBURG, KY
ZIP 41858-189
Phone: (606) 633-5520
Fax: (606) 633-5515

The provider's authorized official is Padubidri S Chandrashekar .
The authorized official title is President and has the following contact phone number (606) 633-5520.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 4/5/2017.

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
1207RC0000XInternal MedicineCardiovascular Disease29202KENTUCKYYes

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
1F41719MEDICARE UPINKENTUCKY
265929432MEDICAIDKENTUCKY

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: 11/21/2025

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