NPIMap

Organization Active NPI

Ms Community Health LLC

  • General Practice Physician
  • Powderly, KY
National Provider Identifier
1023019130
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MS COMMUNITY HEALTH LLC
Practice address
1010 Medical Center Drive
Powderly, KY 42367
Phone
(270) 377-1600
Fax
(270) 388-0229
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas Randall Powell
Title
Chief Executive Officer
Phone
(270) 377-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1010 Medical Center Drive
Powderly, KY 42367

Mailing address

1010 Medical Center Drive
Powderly, KY 42367
Phone (270) 377-1600

Other identifiers 1

IdentifierTypeStateIssuer
35002054MedicaidKY

Other names 1

  • Muhlenberg Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ms Community Health7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1079 Thornberry Dr
Ste 203
Madisonville, KY 42431
Phone (270) 824-3470

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1023019130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DRIVE",
            "city": "POWDERLY",
            "state": "KY",
            "postal_code": "42367",
            "telephone_number": "270-377-1600",
            "fax_number": "270-388-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DRIVE",
            "city": "POWDERLY",
            "state": "KY",
            "postal_code": "42367",
            "telephone_number": "270-377-1600",
            "fax_number": "270-388-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS COMMUNITY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "270-377-1650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35002054",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muhlenberg Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powderly, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.