Organization Active NPI

Quantum Healthcare Associates Inc

  • Family Medicine Physician
  • Hazard, KY
National Provider Identifier
1417704792
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jun 17, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.