Organization Active NPI

Horsley, PSC

  • Radiology Clinic/Center
  • Hopkinsville, KY
National Provider Identifier
1174526982
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
HORSLEY, PSC
Doing business as
Southern Regional Open MRI
Practice address
611 Hammond PLZ
Hopkinsville, KY 42240-4971
Phone
(270) 885-1950
Fax
(270) 885-4431
NPI assigned
May 24, 2005
Organization subpart
Yes
Parent organization
HORSLEY, PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Mrs. Michelle Douglas
Title
Credentialing Manager
Phone
(502) 403-1401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

611 Hammond PLZ
Hopkinsville, KY 42240-4971

Mailing address

611 Hammond PLZ
Hopkinsville, KY 42240-4971
Phone (270) 885-1950

Other identifiers 3

IdentifierTypeStateIssuer
300102264OtherKYMEDICARE RR
1518114MedicaidTN
64230873MedicaidKY

Other names 1

  • Southern Regional Open MRI Doing business as

National Provider Directory

National Provider Directory
Part of
Horsley PSC

Locations

611 Hammond Plz
Hopkinsville, KY 42240
Phone (270) 885-1950

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1174526982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HAMMOND PLZ",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404971",
            "telephone_number": "270-885-1950",
            "fax_number": "270-885-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HAMMOND PLZ",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404971",
            "telephone_number": "270-885-1950",
            "fax_number": "270-885-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSLEY, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORSLEY, PSC",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-403-1401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "300102264",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518114",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64230873",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Regional Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.