Organization Active NPI

Zipclinic, PSC

  • Primary Care Clinic/Center
  • Elizabethtown, KY
National Provider Identifier
1043736440
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ZIPCLINIC, PSC
Practice address
2005 N Dixie Ave
Elizabethtown, KY 42701-9468
Phone
(270) 640-0146
Fax
(270) 640-0889
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michele Knorr
Title
Sr Contracting & Credentialing Spec
Phone
(605) 789-6695

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Primary Care Clinic/Center 261QP2300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

2005 N Dixie Ave
Elizabethtown, KY 42701-9468

Mailing address

2005 N Dixie Ave
Elizabethtown, KY 42701-9468
Phone (270) 640-0146

Other names 1

  • ZipClinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Zipclinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043736440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019468",
            "telephone_number": "270-640-0146",
            "fax_number": "270-640-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019468",
            "telephone_number": "270-640-0146",
            "fax_number": "270-640-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIPCLINIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "KNORR",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "SR CONTRACTING & CREDENTIALING SPEC",
        "authorized_official_telephone_number": "605-789-6695"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZipClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.