TOMPKINSVILLE PRIMARY CARE NPI 1548379779

NPI Information

  • NPI: 1548379779
  • Provider Name: TOMPKINSVILLE PRIMARY CARE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 18D0929831
  • Address: 901 N MAIN ST
    BOX 476
    TOMPKINSVILLE, KY
    ZIP 42167
  • Phone: (270) 487-0551

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NPI Details

TOMPKINSVILLE PRIMARY CARE is a family medicine in Tompkinsville, 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. TOMPKINSVILLE PRIMARY CARE NPI is 1548379779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 N MAIN ST
BOX 476
TOMPKINSVILLE, KY
ZIP 42167-004
Phone: (270) 487-0551
Fax: (270) 487-0841

The provider's authorized official is Denise Bean .
The authorized official title is Office Manager/owner and has the following contact phone number (270) 487-0551.

The CLIA number assigned to this NPI record is 18D0929831 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/30/2014.

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
1207Q00000XFamily MedicineYes

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
165934713MEDICAIDKENTUCKY
2G23559MEDICARE UPINKENTUCKY

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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