Glasgow Urgent Clinic Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

GLASGOW URGENT CLINIC INC

Practice address

411 S L Roger Wells Blvd
Glasgow, KY 42141

Phone

(270) 651-7796

Fax

(270) 651-7074

NPI assigned

Sep 1, 2005

Last updated

Feb 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenny Joe Manion, MDNPI 1518951896

Title

Owner Ceo

Phone

(270) 651-7796

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376537654. Details of each certification follow.

• CCN 188979 Rural health clinic · Active · Details

Rural health clinic certification: CCN 188979

Legal name

GLASGOW URGENT CLINIC INC

Doing business as

GLASGOW URGENT CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 20, 2018

Last certification

Mar 7, 2024

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Jun 26, 1996 in KY

Enrollment address

411 S L Rogers Wells Blvd
Glasgow, KY 42141-1191

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Glasgow Urgent Clinic, Inc

  dba Scottsville Urgent Clinic

  • Family Medicine Physician
  • Scottsville, KY
  • NPI 1922092642

  3274515465

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Glasgow Urgent Clinic Inc

  dba Greenwood Urgent Clinic

  • Family Medicine Physician
  • Bowling Green, KY
  • NPI 1386638666

  O20040602000720

  Same enrollment
• Glasgow Urgent Clinic, Inc

  dba Scottsville Urgent Clinic

  • Family Medicine Physician
  • Scottsville, KY
  • NPI 1922092642

  O20040602000720

  Same enrollment

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kenny Joe Manion, MD

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1518951896

  Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenny Joe Manion, MD

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1518951896
  NPD Authorized official
• Mary Eleanor Harkleroad, MD

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1003879586
  NPD
• Kasey Danielle Lee, APRN

  • Family Nurse Practitioner
  • Glasgow, KY
  • NPI 1295345940
  NPD

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1376537654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S L ROGER WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411191",
            "telephone_number": "270-651-7796",
            "fax_number": "270-651-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S L ROGER WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42141",
            "telephone_number": "270-651-7796",
            "fax_number": "270-651-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASGOW URGENT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "270-651-7796",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65927824",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glasgow Prescription Center, Inc. (Glasgow Prescription Center)
• Glasgow Prescription Center, Inc.
• Glasgow Prescription Center, Inc. (Towne & Country Drugs)
• Glasgow Radiology, PSC
• Glasgow Surgical Associates PSC
• Glasgow Urgent Clinic, Inc
• Glasgow Urgent Clinic, Inc.
• Angie Maria Glass Bishop, MS CCC/SLP
• Glenview Health Care Facility, Inc.
• Golden Gate Bridges

• Rural Health Clinic/Center in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.