NPIMap

Organization Active NPI

Operation Care Inc.

  • Primary Care Clinic/Center
  • Shelbyville, KY
National Provider Identifier
1366052128
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OPERATION CARE INC.
Practice address
615 Washington St
Shelbyville, KY 40065-1131
Phone
(502) 647-4668
Fax
(502) 647-4668
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Tiffany Rochelle Johnson
Title
Clinic Director
Phone
(502) 647-4668

Specialties & licenses 1

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

Addresses

Primary practice location

615 Washington St
Shelbyville, KY 40065-1131

Mailing address

615 Washington St
Shelbyville, KY 40065-1131
Phone (502) 647-4668

Other names 1

  • Operation Care Mercy Medical Clinic Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1063389Mercy Medical Clinic615 Washington Street, Shelbyville, KY 40065Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

615 Washington St
Shelbyville, KY 40065
Phone (502) 647-4668

Practitioners & affiliated clinicians

Practitioners 8

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": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1366052128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651131",
            "telephone_number": "502-647-4668",
            "fax_number": "502-647-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651131",
            "telephone_number": "502-647-4668",
            "fax_number": "502-647-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPERATION CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "502-647-4668"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Operation Care Mercy Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.