NPIMap

Organization Active NPI

Pikeville Medical Center Inc

  • General Acute Care Hospital
  • Pikeville, KY
National Provider Identifier
1285621623
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100366 Issued in KY
Legal business name
PIKEVILLE MEDICAL CENTER INC
Practice address
911 Bypass Rd
Pikeville, KY 41501-1689
Phone
(606) 218-3500
Fax
(606) 418-4560
NPI assigned
Sep 30, 2005
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Mrs. Michelle Hagy
Title
Cfo
Phone
(606) 218-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 100366 KY Primary

Addresses

Primary practice location

911 Bypass Rd
Pikeville, KY 41501-1689

Mailing address

911 Bypass Rd
Pikeville, KY 41501-1689
Phone (606) 218-3500

Other identifiers 1

IdentifierTypeStateIssuer
01012251MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301000308 KY Part A Provider - Hospital 6709790157 Practice locations: Whitesburg, KY; South Williamson, KY; Prestonsburg, KY; Pikeville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285621623. Details of each certification follow.

Hospital certification: CCN 180044

Legal name
PIKEVILLE MEDICAL CENTER INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 9, 2002
Beds
340
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 16, 1923 in KY
Enrollment address
911 Bypass Rd
BLDG a
Pikeville, KY 41501-1602
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Pikeville Medical CenterCCN 180044 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Pikeville Med Ctr Inc59 organizations share this tax ID, including this one

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

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Melissa Thacker Individual W-2 Managing EmployeeChief Quality Officer Jun 15, 2015
Robert Shurtleff Individual Corporate DirectorBoard Member Mar 18, 2019
Ronald Burchett Individual Corporate DirectorBoard Member Jul 27, 1993
Tony Damron Individual W-2 Managing EmployeeVP/ Chief Information Officer Oct 24, 2018
Joe Dean Anderson Individual Corporate DirectorBoard Member- Secretary/Treasurer Apr 12, 1978
David Baird Individual Corporate DirectorBoard Member Jul 24, 2018
Jyothi Mettu Individual Corporate DirectorBoard Member Jan 23, 2018
Michelle Rainey Individual W-2 Managing EmployeeVP/ Chief Nursing Officer Jun 15, 2015
David Collins Individual Corporate DirectorVice Chairman Mar 22, 2005
Usda Department of Agriculture Rural Development Organization, Saint Louis, MO Financial institution 5% Or Greater Mortgage Interest Mar 20, 2013 22.26%
Julius Clinton Martin Individual Corporate DirectorBoard Member Jan 28, 2014
Kansas Justice Individual W-2 Managing EmployeeVP/ Chief Operating Officer Feb 4, 2018
Aaron W Crum Individual Corporate DirectorEx-Officio Board Member Jan 23, 2018
W-2 Managing EmployeeChief Medical Officer/Asst Ceo Jan 23, 2018
Michelle Hagy Individual Corporate DirectorEx-Officio Board Member Nov 24, 2020
W-2 Managing EmployeeChief Financial Officer Dec 7, 2009
Mary Simpson Individual Corporate DirectorBoard Member Mar 28, 2006
John Labreche Individual Corporate DirectorBoard Member Jul 27, 1993
Erich Blackburn Individual Corporate DirectorEx-Officio Board Member Nov 24, 2020
W-2 Managing EmployeeVP/ Chief Legal Officer Mar 5, 2018
Linda Justice Individual Corporate DirectorBoard Member Jan 22, 2019
Phillip Reed Individual Corporate DirectorBoard Member Nov 5, 2019
Christopher C Reynolds Individual Corporate DirectorBoard Member Jan 1, 2026
William Donovan Blackburn Individual Corporate DirectorBoard Chairman Mar 18, 2019
W-2 Managing EmployeeChief Executive Officer Jan 23, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

Affiliated clinicians 550

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 550

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1285621623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-218-3500",
            "fax_number": "606-418-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-218-3500",
            "fax_number": "606-418-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "HAGY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-218-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "100366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01012251",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.