Organization Active NPI

Raymond D. Wells PSC

  • Rural Health Clinic/Center
  • Inez, KY
National Provider Identifier
1184894396
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
14210 Issued in KY
Legal business name
RAYMOND D. WELLS PSC
Practice address
62 Rockcastle Rd
Inez, KY 41224-1088
Phone
(606) 298-3412
Fax
(606) 298-7002
NPI assigned
Mar 4, 2008
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Raymond Douglas Wells, M.D.NPI 1922161009
Title
Owner
Phone
(606) 298-3412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 14210 KY Primary

Addresses

Primary practice location

62 Rockcastle Rd
Inez, KY 41224-1088

Mailing address

PO Box 1088
Inez, KY 41224
Phone (606) 298-3412

Other identifiers 1

IdentifierTypeStateIssuer
64142102MedicaidKY

National Provider Directory

National Provider Directory

Locations

6 Rockcastle Rd
Inez, KY 41224
Phone (606) 298-3412

62 Rockcastle Rd
Inez, KY 41224
Phone (606) 298-3412

Practitioners & affiliated clinicians

Practitioners 3

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1184894396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1088",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "41224",
            "telephone_number": "606-298-3412",
            "fax_number": "606-298-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ROCKCASTLE RD",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412241088",
            "telephone_number": "606-298-3412",
            "fax_number": "606-298-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND D. WELLS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-298-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "14210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64142102",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inez, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.