1528195864 NPI number — PIKEVILLE MEDICAL CENTER INC.

Table of content: (NPI 1528195864)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528195864 NPI number — PIKEVILLE MEDICAL CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PIKEVILLE MEDICAL CENTER INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528195864
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 432
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PIKEVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41502-0432
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-430-3500
Provider Business Mailing Address Fax Number:
606-432-5422

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
911 BYPASS RD BLDG A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PIKEVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41501-1689
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-430-3500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HAGY
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
606-430-3519

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC1900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223S0112X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2080B0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213ES0103X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QU0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7100025550 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000056963 . This is a "BCBS ANESTHESIA GROUP" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 7100032480 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000056961 . This is a "BCBS PHYSICIAN GROUP" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 3100076300 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100075930 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100294240 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100332320 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 65922361 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100025560 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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