NPIMap

Organization Active NPI

Glasgow Urgent Clinic, Inc.

  • Physician Assistant
  • Scottsville, KY
National Provider Identifier
1306095237
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
GLASGOW URGENT CLINIC, INC.
Practice address
218 N Court St
Scottsville, KY 42164-1434
Phone
(270) 237-4899
Fax
(270) 237-4466
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Mr. Kenny Joe Manion, M.D.NPI 1518951896
Title
Ceo/Owner
Phone
(270) 651-7796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

218 N Court St
Scottsville, KY 42164-1434

Mailing address

218 N Court St
Scottsville, KY 42164-1434
Phone (270) 237-4899

Other identifiers 1

IdentifierTypeStateIssuer
65933772MedicaidKY

Other names 1

  • Scottsville Urgent Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glasgow Urgent Clinic Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1306095237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N COURT ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641434",
            "telephone_number": "270-237-4899",
            "fax_number": "270-237-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N COURT ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641434",
            "telephone_number": "270-237-4899",
            "fax_number": "270-237-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASGOW URGENT CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "270-651-7796",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933772",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsville Urgent Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.