Kentucky Mountain Imaging LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

39706 Issued in KY

Legal business name

KENTUCKY MOUNTAIN IMAGING LLC

Practice address

145 Citizens LN
Ste B
Hazard, KY 41701-1320

Phone

(866) 457-9896

NPI assigned

Sep 22, 2008

Organization subpart

No

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

Authorized official

Name

Paul D Ellis, MD

Title

President

Phone

(866) 457-9896

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1285884783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6070",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307226070",
            "telephone_number": "866-457-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CITIZENS LN",
            "address_2": "STE B",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011320",
            "telephone_number": "866-457-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MOUNTAIN IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-457-9896",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": "39706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Institute for Eye Health and Surgery
• Kentucky Lung Clinic, Inc
• Kentucky Medical Services Foundation
• Kentucky Mountain Health Alliance
• Kentucky Mountain Health Alliance, Inc.
• Kentucky Mountain Radiology Services PLLC
• Kentucky Pain Management Services
• Kentucky Pain Physicians
• Kentucky Pain Physicians, PSC
• Kentucky Primary Medical Services LLC

• All providers in Hazard, KY
• General Acute Care Hospital in Kentucky

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