CROFTON CLINIC PSC NPI 1194253245

NPI Information

  • NPI: 1194253245
  • Provider Name: CROFTON CLINIC PSC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 18D2131611
  • Address: 241 S MADISONVILLE ST
    CROFTON, KY
    ZIP 42217
  • Phone: (270) 220-0420

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NPI Details

CROFTON CLINIC PSC is a rural health clinic center in Crofton, KY. CROFTON CLINIC PSC NPI is 1194253245. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

241 S MADISONVILLE ST
CROFTON, KY
ZIP 42217-009
Phone: (270) 220-0420

The provider's authorized official is Manoj Majmudar .
The authorized official title is Owner and has the following contact phone number (270) 220-0240.

The CLIA number assigned to this NPI record is 18D2131611 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2017 and was last updated on 3/1/2018.

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
1207R00000XInternal MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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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