Active NPI
Kentucky Mountain Health, LLC
- Pain Clinic/Center
- Pikeville, KY
National Provider Identifier
1225315591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- KENTUCKY MOUNTAIN HEALTH, LLC
- Practice address
- 101 Hibbard St Ste 100
Pikeville, KY 41501-1788 - Phone
- (606) 433-0404
- Fax
- (606) 432-0405
- NPI assigned
- Nov 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brandy M Meadows, BSN
- Title
- Co-Owner
- Phone
- (606) 433-0404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
101 Hibbard St Ste 100
Pikeville, KY 41501-1788
Mailing address
101 Hibbard St Ste 100
Pikeville, KY 41501-1788
Phone (606) 433-0404
Other practice location 1
175 Weddington Branch Rd
Pikeville, KY 41501-3204
Phone (606) 433-0404
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1225315591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HIBBARD ST STE 100",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011788",
"telephone_number": "606-433-0404",
"fax_number": "606-432-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HIBBARD ST STE 100",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011788",
"telephone_number": "606-433-0404",
"fax_number": "606-432-0405"
}
],
"practiceLocations": [
{
"address_1": "175 Weddington Branch Rd",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415013204",
"country_code": "US",
"telephone_number": "606-433-0404",
"fax_number": "606-432-0405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KENTUCKY MOUNTAIN HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-14",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "MEADOWS",
"authorized_official_first_name": "BRANDY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "606-433-0404",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BSN"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.