Organization Active NPI

Pikeville Medical Center Inc.

Doing business as Pikeville Medical Center Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Pikeville, KY
National Provider Identifier
1194967109
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100366 Issued in KY
Legal business name
PIKEVILLE MEDICAL CENTER INC.
Doing business as
Pikeville Medical Center Home Medical Equipment
Practice address
138 S Mayo TRL
Pikeville, KY 41501-1309
Phone
(606) 430-4750
Fax
(606) 328-5348
NPI assigned
Apr 6, 2009
Last updated
Jan 24, 2022By 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 Jan 24, 2022

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100366 KY Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 100366 KY
Oxygen Equipment & Supplies (DME) 332BX2000X 100366 KY

Addresses

Primary practice location

138 S Mayo TRL
Pikeville, KY 41501-1309

Mailing address

PO Box 2917
Pikeville, KY 41502-2917
Phone (606) 430-3519

Other identifiers 1

IdentifierTypeStateIssuer
0311980002OtherKYPTAN

Other names 1

  • Pikeville Medical Center Home Medical Equipment Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004399 KY DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory Therapist 6709790157 Practice locations: Pikeville, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pikeville Medical Center Inc138 S Mayo TRL, Pikeville, KY 41501-1309(606) 430-4750 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchair… Accepts assignmentParticipating since Oct 1, 1984

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1194967109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2917",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022917",
            "telephone_number": "606-430-3519",
            "fax_number": "606-432-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011309",
            "telephone_number": "606-430-4750",
            "fax_number": "606-328-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE MEDICAL CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIKEVILLE MEDICAL CENTER INC.",
        "enumeration_date": "2009-04-06",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "100366",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "100366",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "100366",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0311980002",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikeville Medical Center Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pikeville Medical Center Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.