USP MCCREARY NPI 1720324023

NPI Information

  • NPI: 1720324023
  • Provider Name: USP MCCREARY
  • Classification: Clinic/Center - 261QP2400X
  • Specialization: Prison Health
  • Entity Type: Organization
  • CLIA Number: 18D2314168
  • Address: 330 FEDERAL WAY
    PINE KNOT, KY
    ZIP 42635
  • Phone: (606) 354-7160

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NPI Details

USP MCCREARY is a prison health clinic center in Pine Knot, KY. USP MCCREARY NPI is 1720324023. The provider is registered as an organization entity type.

The provider's business location address is:

330 FEDERAL WAY
PINE KNOT, KY
ZIP 42635-000
Phone: (606) 354-7160
Fax: (606) 354-7163

The provider's authorized official is Beverly Barron .
The authorized official title is Acting Health Services Administrato and has the following contact phone number (606) 354-7160.

The CLIA number assigned to this NPI record is 18D2314168 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/14/2012.

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
1261QP2400XClinic/CenterPrison Health12669PUERTO RICOYes

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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