THACKER FAMILY MEDICAL LLC NPI 1134898364

NPI Information

NPI: 1134898364
Provider Name: THACKER FAMILY MEDICAL LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D2066377

Address:
140 ADAMS LN STE 600-700
PIKEVILLE, KY
ZIP 41501
Phone: (606) 509-2000
Get Directions

THACKER FAMILY MEDICAL LLC is a rural health clinic center in Pikeville, KY. THACKER FAMILY MEDICAL LLC NPI is 1134898364. The provider is registered as an organization entity type.

The provider's business location address is:

140 ADAMS LN STE 600-700
PIKEVILLE, KY
ZIP 41501-087
Phone: (606) 509-2000
Fax: (606) 509-2002

The provider's authorized official is Chadward L. Thacker .
The authorized official title is Owner and has the following contact phone number (606) 509-2000.

The CLIA number assigned to this NPI record is 18D2066377 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2021 and was last updated on 1/26/2024.

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	261QR1300X	Clinic/Center	Rural Health			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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »