NPIMap

Organization Active NPI

Pikeville Medical Center, Inc.

  • Multi-Specialty Clinic/Center
  • Pikeville, KY
National Provider Identifier
1083491955
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PIKEVILLE MEDICAL CENTER, INC.
Practice address
911 Bypass Rd BLDG a
Pikeville, KY 41501-1602
Phone
(606) 430-3500
Fax
(606) 432-6762
NPI assigned
Sep 13, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PIKEVILLE MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Michelle Hagy
Title
Cfo
Phone
(606) 430-3519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

911 Bypass Rd BLDG a
Pikeville, KY 41501-1602

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-3500

Other practice location 1

28342 Quiet Hill Ln
Trabuco Canyon, CA 92679-1117
Phone (606) 430-3500

Other practice location 2

2140 E Calle Lileta
Palm Springs, CA 92262-7113
Phone (606) 430-3500

Other practice location 3

10726 Shadowwood Ln
Weed, CA 96094-9792
Phone (606) 430-3500

Other practice location 4

4140 Whispering Oaks Ln
Blackhawk, CA 94506-5838
Phone (606) 430-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000842 CA Part B Supplier - Clinic/Group Practice 6709790157 Receives reassigned benefits from 6 practitioners
Practice locations: Blackhawk, CA; Coto de Caza, CA; Laguna Beach, CA; Los Altos, CA; Palm Springs, CA; Trabuco Canyon, CA; Weed, CA

National Provider Directory

National Provider Directory
Tax ID family
Pikeville Med Ctr Inc59 organizations share this tax ID, including this one
Part of
Pikeville Med Ctr Inc

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Practitioners & affiliated clinicians

Practitioners 6

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": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1083491955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-3500",
            "fax_number": "606-432-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD BLDG A",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011602",
            "telephone_number": "606-430-3500",
            "fax_number": "606-432-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28342 Quiet Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Trabuco Canyon",
            "state": "CA",
            "postal_code": "926791117",
            "country_code": "US",
            "telephone_number": "606-430-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 E Calle Lileta",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627113",
            "country_code": "US",
            "telephone_number": "606-430-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10726 Shadowwood Ln",
            "address_purpose": "LOCATION",
            "city": "Weed",
            "state": "CA",
            "postal_code": "960949792",
            "country_code": "US",
            "telephone_number": "606-430-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140 Whispering Oaks Ln",
            "address_purpose": "LOCATION",
            "city": "Blackhawk",
            "state": "CA",
            "postal_code": "945065838",
            "country_code": "US",
            "telephone_number": "606-430-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIKEVILLE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIKEVILLE MEDICAL CENTER, INC.",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "HAGY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-430-3519"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.