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EASTERN KENTUCKY FAMILY MEDICINE PLLC NPI 1730337247


NPI Information

NPI: 1730337247
Provider Name: EASTERN KENTUCKY FAMILY MEDICINE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D1012949

Address:
713 BROADWAY ST
PAINTSVILLE, KY
ZIP 41240
Phone: (606) 789-4255
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EASTERN KENTUCKY FAMILY MEDICINE PLLC is a family medicine in Paintsville, 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. EASTERN KENTUCKY FAMILY MEDICINE PLLC NPI is 1730337247. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

713 BROADWAY ST
PAINTSVILLE, KY
ZIP 41240-465
Phone: (606) 789-4255
Fax: (606) 886-9908

The provider's authorized official is Jason Castle .
The authorized official title is Sole Member and has the following contact phone number (606) 789-4255.

The CLIA number assigned to this NPI record is 18D1012949 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 5/4/2016.


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 Medicine42069KENTUCKYYes

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
17100056750MEDICAIDKENTUCKY
200795001MEDICARE PINKENTUCKY

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

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.