Taylor Regional Hospital Urgent Care Center, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC

Practice address

1911 Campbellsville Rd
Greensburg, KY 42743-7758

Phone

(270) 932-2221

Fax

(270) 932-2201

NPI assigned

May 25, 2007

Organization subpart

Yes

Parent organization

TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Matilda Carol Wright

Title

Ucc Director

Phone

(270) 932-2221

Specialties & licenses 2

Addresses

Other identifiers 4

Part of

Taylor Regional Hospital Urgent Care Center LLC

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1376754861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 CAMPBELLSVILLE RD",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427437758",
            "telephone_number": "270-932-2221",
            "fax_number": "270-932-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 CAMPBELLSVILLE RD",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427437758",
            "telephone_number": "270-932-2221",
            "fax_number": "270-932-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAYLOR REGIONAL HOSPITAL URGENT CARE CENTER, LLC",
        "enumeration_date": "2007-05-25",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "UCC DIRECTOR",
        "authorized_official_telephone_number": "270-932-2221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100011450",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000526336",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010741",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100006720",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Tori Stearman
• Kaylea Stearman
• Monica Ann Stone, M.D.
• Supportive Community Alliances, LLC
• T J Health Columbia Inc
• Taylor Regional Hospital Urgent Care Center, LLC
• Taylor Regional Medical Group LLC
• Taylor Regional Medical Group,LLC
• The Corner Drug Store,Inc.
• Courtney Nicole Thompson, LPCC

• Primary Care Nurse Practitioner in Greensburg, KY
• Providers in Greensburg, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.