NPIMap

Organization Active NPI

East Ky Clinics, LLC

  • Primary Care Clinic/Center
  • Hazard, KY
National Provider Identifier
1356410278
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
29445 Issued in KY
Legal business name
EAST KY CLINICS, LLC
Practice address
108 School St
Hazard, KY 41701-1071
Phone
(606) 487-0776
Fax
(606) 487-0777
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Phillip Randy Mullins
Title
Coo
Phone
(606) 487-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 29445 KY Primary

Addresses

Primary practice location

108 School St
Hazard, KY 41701-1071

Mailing address

PO Box 1297
Hazard, KY 41702-1297
Phone (606) 487-0776

Other names 1

  • Simon & True Medical Consultants, dba KY Palliative Care Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356410278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1297",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021297",
            "telephone_number": "606-487-0776",
            "fax_number": "606-487-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SCHOOL ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011071",
            "telephone_number": "606-487-0776",
            "fax_number": "606-487-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST KY CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "RANDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "606-487-0776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "29445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simon & True Medical Consultants, dba KY Palliative Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.