NPIMap

Organization Active NPI

Knott County Center for Family Health

Doing business as Mountain View Health

  • Rural Health Clinic/Center
  • Emmalena, KY
National Provider Identifier
1053715706
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KNOTT COUNTY CENTER FOR FAMILY HEALTH
Doing business as
Mountain View Health
Practice address
3470 Highway 80 W
Emmalena, KY 41740-8854
Phone
(800) 575-7223
Fax
(606) 436-5797
NPI assigned
Oct 9, 2014
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Marcia AdamsNPI 1659682169
Title
Cfo
Phone
(800) 575-7223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Family Nurse Practitioner 363LF0000X
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

3470 Highway 80 W
Emmalena, KY 41740-8854

Mailing address

3470 West Highway 80
Emmalena, KY 41740
Phone (606) 785-9377

Other names 1

  • Mountain View Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150123000812 KY Part A Provider - Rural Health Clinic 8325362262 Practice locations: Emmalena, KY
O20150717002032 KY Part B Supplier - Clinic/Group Practice 8325362262 Receives reassigned benefits from 6 practitioners
Practice locations: Emmalena, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053715706. Details of each certification follow.

Rural health clinic certification: CCN 188934

Legal name
KNOTT COUNTY CENTER FOR FAMILY HEALTH
Doing business as
MOUNTAIN VIEW HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 10, 2014
Last certification
Apr 10, 2014
Ownership / control type
1B
Most recent change of ownership
Sep 19, 2014 (1 total)
Organization structure
LLCNon-profit
Incorporated
Aug 14, 2014 in KY
Enrollment address
3470 Highway 80 W
Emmalena, KY 41740-8854

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2087884Knott County Center for Family Health3470 West Highway 80 Att Darrell Bailey, Emmalena, KY 41740Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
Knott County Center for Family Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3470 Highway 80 W
Emmalena, KY 41740
Phone (606) 785-9377

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sandy Holbrook Individual Corporate DirectorBoard Chair Jul 25, 2017
Kentucky River Community Care Inc Organization, Hazard, KY Non-profit 5% Or Greater Direct Ownership Interest Sep 19, 2014 100%
Erica Spicer Individual W-2 Managing EmployeeCredentialing Coordinator Jun 16, 2021
Mary Meade-McKenzie Individual Corporate OfficerCeo Jul 22, 2014
Marcia Adams Individual Corporate OfficerChief Finanical Officer Sep 16, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1053715706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 WEST HIGHWAY 80",
            "city": "EMMALENA",
            "state": "KY",
            "postal_code": "41740",
            "telephone_number": "606-785-9377",
            "fax_number": "606-785-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 HIGHWAY 80 W",
            "city": "EMMALENA",
            "state": "KY",
            "postal_code": "417408854",
            "telephone_number": "800-575-7223",
            "fax_number": "606-436-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOTT COUNTY CENTER FOR FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-575-7223"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emmalena, KY

Sources for this page

Verify at the official NPI Registry.