NPIMap

Organization Active NPI

Family Care Clinic, PLLC

  • Rural Health Clinic/Center
  • Mt Sterling, KY
National Provider Identifier
1285655167
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
900143 Issued in KY
Legal business name
FAMILY CARE CLINIC, PLLC
Practice address
644 Maysville Rd
Suite 8
Mt Sterling, KY 40353-9464
Phone
(859) 498-6006
Fax
(859) 498-8006
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Mrs. Brenda Jean Drennen, ARNP
Title
Owner
Phone
(859) 498-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 900143 KY Primary

Addresses

Primary practice location

644 Maysville Rd
Suite 8
Mt Sterling, KY 40353-9464

Mailing address

644 Maysville Rd
Suite 8
Mt Sterling, KY 40353-9464
Phone (859) 498-6006

Other identifiers 1

IdentifierTypeStateIssuer
35001411MedicaidKY

National Provider Directory

National Provider Directory

Locations

225 Hospital Dr
Ste 110
Winchester, KY 40391
Phone (859) 737-6490

225 Hospital Dr
Ste 200C
Winchester, KY 40391
Phone (859) 737-6480

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1285655167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 MAYSVILLE RD",
            "address_2": "SUITE 8",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539464",
            "telephone_number": "859-498-6006",
            "fax_number": "859-498-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 MAYSVILLE RD",
            "address_2": "SUITE 8",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539464",
            "telephone_number": "859-498-6006",
            "fax_number": "859-498-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "DRENNEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-498-6006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "900143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001411",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.