Pineville Medical Center, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PINEVILLE MEDICAL CENTER, LLC

Doing business as

Southeastern KY Total Care RHC

Practice address

121 W Virginia Ave
Pineville, KY 40977-1661

Phone

(606) 337-3051

Fax

(606) 337-2871

NPI assigned

May 10, 2018

Organization subpart

Yes

Parent organization

PINEVILLE MEDICAL CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Kevin Couch

Title

Controller

Phone

(606) 337-3051

Specialties & licenses 1

Addresses

Other names 1

• Southeastern KY Total Care RHC Doing business as

Part of

Pineville Medical Center LLC

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1093205593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771452",
            "telephone_number": "606-337-3051",
            "fax_number": "606-337-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771661",
            "telephone_number": "606-337-3051",
            "fax_number": "606-337-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINEVILLE MEDICAL CENTER, LLC",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "606-337-3051"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern KY Total Care RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pineville Medical Center, LLC
• Pineville Medical Center, LLC
• Pineville Medical Center, LLC

• Rural Health Clinic/Center in Pineville, KY
• Providers in Pineville, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.