Organization Active NPI

Kentucky Family Care PSC

  • Clinic/Center
  • Somerset, KY
National Provider Identifier
1104892181
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KENTUCKY FAMILY CARE PSC
Practice address
298 Bogle St
Ste B
Somerset, KY 42503-2836
Phone
(606) 679-9213
Fax
(606) 677-9963
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Mrs. Betsy T Reynolds, MD
Title
Owner
Phone
(606) 679-9213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

298 Bogle St
Ste B
Somerset, KY 42503-2836

Mailing address

298 Bogle St
Ste B
Somerset, KY 42503
Phone (606) 679-9213

Other identifiers 1

IdentifierTypeStateIssuer
65931008MedicaidKY

National Provider Directory

National Provider Directory

Locations

310 Langdon St
Somerset, KY 42503
Phone (606) 677-0772

3810 S Highway 27
Ste 4
Somerset, KY 42501
Phone (606) 677-0772

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1104892181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 BOGLE ST",
            "address_2": "STE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503",
            "telephone_number": "606-679-9213",
            "fax_number": "606-677-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 BOGLE ST",
            "address_2": "STE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032836",
            "telephone_number": "606-679-9213",
            "fax_number": "606-677-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY FAMILY CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-679-9213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65931008",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.