Southern Medical Partners

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

34644 Issued in KY

Legal business name

SOUTHERN MEDICAL PARTNERS

Practice address

277 Roy Campbell Dr
Hazard, KY 41701-9485

Phone

(606) 435-1708

Fax

(606) 435-2445

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Benny Ray Bailey II

Title

Ceo

Phone

(606) 435-1708

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275554016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 ROY CAMPBELL DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019485",
            "telephone_number": "606-435-1708",
            "fax_number": "606-435-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 ROY CAMPBELL DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019485",
            "telephone_number": "606-435-1708",
            "fax_number": "606-435-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "BENNY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-435-1708",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "KY",
            "license": "34644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSURE",
            "identifier": "34644",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Smith, RN
• Soaring Potentials LLLP
• Son Shine Health and Wellness Center, PSC.
• Pamela Sorrell
• Southeast Vision Associates, LLC
• Southern Medical Partners, LLC
• Sherry Lynn Southern
• Kurt Sowers, MD
• Laura Deneer Spare
• Michael A Spare, L.C.S.W.

• Emergency Care Clinic/Center in Hazard, KY
• Providers in Hazard, KY by specialty
• Emergency Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.