Morgan County Family Practice

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

COA10766NP Issued in OH

Legal business name

MORGAN COUNTY FAMILY PRACTICE

Practice address

4279 N State Route 376 NW
McConnelsville, OH 43756-9145

Phone

(740) 962-2575

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Kathleen J Montgomery

Title

FNP

Phone

(740) 818-8416

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1346594801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4279 N STATE ROUTE 376 NW",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437569145",
            "telephone_number": "740-962-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4279 N STATE ROUTE 376 NW",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437569145",
            "telephone_number": "740-962-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COUNTY FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "740-818-8416"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OH",
            "license": "COA10766NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alivia L Mock, AAS, QMHS
• Tiffany Sue Moore
• Morgan Behavioral Health Choices
• Morgan County
• Morgan County
• Kimberly L Mowry, LPN, QMHS
• Muskingum Valley Health Centers
• Muskingum Valley Health Centers
• Northland Hearing Center, Inc.
• Heather Parcell, CDCA

• Rural Health Clinic/Center in McConnelsville, OH
• Providers in McConnelsville, OH by specialty
• Rural Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.