Beall Recovery Clinics
Organization Active NPI Addiction Medicine (Preventive Medicine) Physician · Winchester, KY
NPI 1356997449 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1356997449
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician 2083A0300X
- Legal business name
- BEALL RECOVERY CLINICS
- Practice address
- 1145 W Lexington Ave Ste C
Winchester, KY 40391-1290 - Phone
- (859) 385-4093
- Fax
- (859) 355-4058
- NPI assigned
- Aug 14, 2019
- Organization subpart
- No
Authorized official
- Name
- Tiffany Osborne
- Title
- Owner
- Phone
- (859) 385-4093
Practitioners 4
-
Teresa Lynn Bell, APRN, FNP-C
-
Martha Suzanne Freeman, APRN
-
Oliver C James II, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191205003050 | KY | Part B Supplier - Clinic/Group Practice | 2062845902 |
Receives reassigned benefits from 3 practitioners Practice locations: Cynthiana, KY; Clay City, KY; Winchester, KY |
National Provider Directory
Locations
5860 Main St
Ste D
Clay City, KY 40312
Phone (606) 612-5092
1134 US Highway 27 S
Ste 2
Cynthiana, KY 41031
Phone (859) 234-4545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician |
2083A0300X | Yes | ||
| Nurse Practitioner |
363L00000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
1145 W Lexington Ave Ste C
Winchester, KY 40391-1290
Mailing address
1145 W Lexington Ave Ste C
Winchester, KY 40391-1290
Phone (859) 385-4093
Other practice location 1
1134 US Highway 27 S Ste 2
Cynthiana, KY 41031-4177
Phone (859) 234-9799
Other practice location 2
5860 Main St Ste D
Clay City, KY 40312-1329
Phone (606) 612-5092
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100621660 | Medicaid | KY |
Other names
- Beall Recovery Clinics
Other providers in Winchester, KY
- Rebecca Diane Bartee
- Andrea Sue Bartholomew
- Madeline Marie Bartley
- Kimberly Roberts Bates
- Lucinda Kerr Batta
- Wyndel Lafon Beattie
- Joanna Bell
- John Benedict
- Lacey Bentley
- Kori Bess Benton
All providers in Winchester, KY · Addiction Medicine (Preventive Medicine) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.