Gwim Enterprises, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

GWIM ENTERPRISES, LLC

Doing business as

Monroe Convenient Care

Practice address

200 N Crawford St
Tompkinsville, KY 42167-1617

Phone

(270) 634-2089

NPI assigned

Aug 13, 2008

Last updated

Aug 22, 2008By 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. Rockie McDaniel

Title

President

Phone

(270) 403-5211

Specialties & licenses 1

Addresses

Other names 1

• Monroe Convenient Care Doing business as

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1417103276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421670952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CRAWFORD ST",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421671617",
            "telephone_number": "270-634-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWIM ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "ROCKIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-403-5211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Convenient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Medical Healthcare Center PSC
• Michael Gesler, OTR
• Charity Gravile
• Rebecca Lynn Greer, D.M.D
• Mikayla Grosko
• Crystal C Hagan, DMD
• Daniel S Hall, BHS
• Misty Harper
• Harrison Pharmacy Inc (Harrison Pharmacy)
• Clella Louise Hayes, M.D.

• Rural Health Clinic/Center in Tompkinsville, KY
• Providers in Tompkinsville, 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 Aug 22, 2008; 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.