FIRST YOU MEDICAL CENTER PLLC NPI 1841358876

NPI Information

NPI: 1841358876
Provider Name: FIRST YOU MEDICAL CENTER PLLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D1021465

Address:
18 ALEXANDER AVE
UNIT 1
BEDFORD, KY
ZIP 40006
Phone: (502) 255-0222
Get Directions

FIRST YOU MEDICAL CENTER PLLC is a rural health clinic center in Bedford, KY. FIRST YOU MEDICAL CENTER PLLC NPI is 1841358876. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18 ALEXANDER AVE
UNIT 1
BEDFORD, KY
ZIP 40006-114
Phone: (502) 255-0222
Fax: (888) 310-2675

The provider's authorized official is Shanna Stivers Dave .
The authorized official title is Member/owner and has the following contact phone number (502) 593-0083.

The CLIA number assigned to this NPI record is 18D1021465 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 11/27/2015.

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	207Q00000X	Family Medicine			KENTUCKY	No
2	363A00000X	Physician Assistant			KENTUCKY	No
3	363LF0000X	Nurse Practitioner	Family			No
4	261QR1300X	Clinic/Center	Rural Health	900263	KENTUCKY	Yes

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
1	000000265566	OTHER	KENTUCKY	ANTHEM
2	64127467	OTHER	KENTUCKY	PHP
3	7100244880	MEDICAID	KENTUCKY
4	188922	MEDICARE PIN
5	50002355	OTHER	KENTUCKY	PASSPORT HEALTH
6	CK7832	OTHER	KENTUCKY	RAILROAD MEDICARE
7	2443866001	OTHER	KENTUCKY	PASSPORT ADVANTAGE
8	K092181	MEDICARE PIN

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

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