CCMH CORPORATION NPI 1982891057

NPI Information

  • NPI: 1982891057
  • Provider Name: CCMH CORPORATION
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: BEDFORD FAMILY PRACTICE
  • CLIA Number: 18D0320374
  • Address: 309 11TH ST
    CARROLLTON, KY
    ZIP 41008
  • Phone: (502) 662-0336

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NPI Details

CCMH CORPORATION is a rural health clinic center in Carrollton, KY. CCMH CORPORATION NPI is 1982891057. The provider is registered as an organization entity type.
The provider Is Doing Business As Bedford Family Practice.

The provider's business location address is:

309 11TH ST
CARROLLTON, KY
ZIP 41008-435
Phone: (502) 662-0336

The provider's authorized official is Sheila Tomlinson .
The authorized official title is Director Of Clinical Services and has the following contact phone number (502) 732-3278.

The CLIA number assigned to this NPI record is 18D0320374 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/2/2007 and was last updated on 9/24/2021.

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
1261QR1300XClinic/CenterRural Health900261KENTUCKYYes

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
1000000520562OTHERKENTUCKYANTHEM
250014776OTHERKENTUCKYPASSPORT
37100010810MEDICAIDKENTUCKY

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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