Active NPI
Family Health Services, Inc.
- Family Medicine Physician
- Paintsville, KY
National Provider Identifier
1063450781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 700135
- Legal business name
- FAMILY HEALTH SERVICES, INC.
- Practice address
- 824 FM Stafford Ave
Paintsville, KY 41240-1252 - Phone
- (606) 789-2424
- Fax
- (606) 789-2492
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Dedra D. Kretzer
- Title
- Presicent, Ceo
- Phone
- (606) 789-2424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 700135 | KY | Primary |
Addresses
Primary practice location
824 FM Stafford Ave
Paintsville, KY 41240-1252
Mailing address
824 FM Stafford Ave
Paintsville, KY 41240-1252
Phone (606) 789-2424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65940199 | Medicaid | KY | |
| 700135 | Other | KY | PRIMARY CARE CENTER LICEN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063450781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 FM STAFFORD AVE",
"city": "PAINTSVILLE",
"state": "KY",
"postal_code": "412401252",
"telephone_number": "606-789-2424",
"fax_number": "606-789-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 FM STAFFORD AVE",
"city": "PAINTSVILLE",
"state": "KY",
"postal_code": "412401252",
"telephone_number": "606-789-2424",
"fax_number": "606-789-2492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRETZER",
"authorized_official_first_name": "DEDRA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESICENT, CEO",
"authorized_official_telephone_number": "606-789-2424",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": "700135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65940199",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY CARE CENTER LICEN",
"identifier": "700135",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paintsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.