Active NPI
Quantum Healthcare Associates Inc
- Family Medicine Physician
- Hazard, KY
National Provider Identifier
1417704792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- QUANTUM HEALTHCARE ASSOCIATES INC
- Practice address
- 1908 N Main St Ste 230
Hazard, KY 41701-2503 - Phone
- (606) 435-2961
- NPI assigned
- May 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie Castle
- Title
- Managing Director
- Phone
- (606) 436-0711
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1908 N Main St Ste 230
Hazard, KY 41701-2503
Mailing address
PO Box 959
Hazard, KY 41702-0959
Phone (606) 435-2961
Other names 1
- Quantum Healthcare Associates, PSC
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1417704792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959",
"city": "HAZARD",
"state": "KY",
"postal_code": "417020959",
"telephone_number": "606-435-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 N MAIN ST STE 230",
"city": "HAZARD",
"state": "KY",
"postal_code": "417012503",
"telephone_number": "606-435-2961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUANTUM HEALTHCARE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-03",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "CASTLE",
"authorized_official_first_name": "CONNIE",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "606-436-0711"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quantum Healthcare Associates, PSC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Quantum Healthcare Associates, PSC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.