NPIMap

Organization Active NPI

Pineville Community Health Center Inc

  • Psychiatric Hospital Unit
  • Pineville, KY
National Provider Identifier
1265091003
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
PINEVILLE COMMUNITY HEALTH CENTER INC
Practice address
850 Riverview Ave
Pineville, KY 40977-1452
Phone
(606) 337-3051
NPI assigned
Jun 6, 2019
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PINEVILLE COMMUNITY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Sheryl Richter
Title
President/Ceo
Phone
(606) 337-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

850 Riverview Ave
Pineville, KY 40977-1452

Mailing address

850 Riverview Ave
Pineville, KY 40977-1452
Phone (606) 337-3051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190703001643 KY Part A Provider - Hospital 5698009157 Practice locations: Pineville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265091003. Details of each certification follow.

Hospital certification: CCN 18S154

Legal name
PINEVILLE COMMUNITY HEALTH CENTER INC
Organization structure
CorporationNon-profit
Incorporated
Jun 3, 2019 in KY
Enrollment address
850 Riverview Ave
Pineville, KY 40977-1452
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Pineville Community Health Center Inc11 organizations share this tax ID, including this one
Part of
Pineville Community Health Center Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Teresa McCarty Individual W-2 Managing Employee Jun 3, 2019
Dennis Varghese Individual Corporate OfficerChairman of the Board Feb 2, 2023
Sheryl Richer Individual Corporate OfficerPresident/Ceo Feb 2, 2023
Tyler Stapp Individual Corporate Director Nov 26, 2024

Practitioners & affiliated clinicians

Practitioners 1

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": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1265091003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771452",
            "telephone_number": "606-337-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771452",
            "telephone_number": "606-337-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINEVILLE COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2019-06-06",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "606-337-3051"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

Verify at the official NPI Registry.