NPIMap

Organization Active NPI

Royal Treatment Healthcare Inc

  • Rural Health Clinic/Center
  • Bimble, KY
National Provider Identifier
1376889055
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
900288 Issued in KY
Legal business name
ROYAL TREATMENT HEALTHCARE INC
Practice address
4671 S US Highway 25E
Bimble, KY 40915-0000
Phone
(606) 546-2598
NPI assigned
Dec 27, 2012
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Barbara Bargo, ARNPNPI 1346201936
Title
Provider
Phone
(606) 546-2598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 900288 KY Primary
Nurse Practitioner 363L00000X 3002774 KY
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

4671 S US Highway 25E
Bimble, KY 40915-0000

Mailing address

4671 S US Highway 25E
Bimble, KY 40915-0000
Phone (606) 546-2598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130620000369 KY Part B Supplier - Clinic/Group Practice 0941449086 Receives reassigned benefits from 3 practitioners
Practice locations: Bimble, KY
O20140708000366 KY Part A Provider - Rural Health Clinic 0941449086 Practice locations: Bimble, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376889055. Details of each certification follow.

Rural health clinic certification: CCN 188942

Legal name
ROYAL TREATMENT HEALTHCARE INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 9, 2014
Last certification
Oct 9, 2014
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Mar 27, 2013 in KY
Enrollment address
4671 S US Highway 25E
Bimble, KY 40915-6112

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24154/brand/2/csg/21/fhir/r4

Ownership & related parties

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.

NameRoleSinceShare
Barbara Bargo Individual 5% Or Greater Direct Ownership Interest Mar 27, 2013 100%
Corporate OfficerPresident Mar 27, 2013
Corporate DirectorPresident, Sole Owner Mar 27, 2013
W-2 Managing EmployeePresident, Sole Owner Mar 27, 2013
Operational/Managerial Control Oct 1, 2013

Owners & managing parties with NPI records 1

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

  • Barbara Bargo, ARNP
    • Nurse Practitioner
    • Bimble, KY
    • NPI 1346201936

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1376889055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4671 S US HIGHWAY 25E",
            "city": "BIMBLE",
            "state": "KY",
            "postal_code": "409150000",
            "telephone_number": "606-546-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 S US HIGHWAY 25E",
            "city": "BIMBLE",
            "state": "KY",
            "postal_code": "409150000",
            "telephone_number": "606-546-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL TREATMENT HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2021-01-20",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "BARGO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "606-546-2598",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "900288",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002774",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bimble, KY

Sources for this page

Verify at the official NPI Registry.