Organization Active NPI

Pacer Management of Kentucky LLC

Doing business as Knox County Hospital

  • Critical Access Hospital
  • Barbourville, KY
National Provider Identifier
1427201177
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
PACER MANAGEMENT OF KENTUCKY LLC
Doing business as
Knox County Hospital
Practice address
80 Hospital Dr
Barbourville, KY 40906-7363
Phone
(606) 546-4175
Fax
(606) 545-4863
NPI assigned
Oct 28, 2008
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PACER HEALTH MANAGEMENT CORPORATION OF KENTUCKYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Craig D. Morgan
Title
Ceo
Phone
(606) 546-4175

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary
Nurse Practitioner 363L00000X NU
Anesthesiology Physician 207L00000X NU
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU
Family Medicine Physician 207Q00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Gynecology Physician 207VG0400X NU
Diagnostic Radiology Physician 2085R0202X NU
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

80 Hospital Dr
Barbourville, KY 40906-7363

Mailing address

80 Hospital Dr
PO Box 10
Barbourville, KY 40906-7363
Phone (606) 546-4175

Other identifiers 2

IdentifierTypeStateIssuer
7100024720MedicaidKY
01000348MedicaidKY

Other names 1

  • Knox County Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Knox County Physician Group

Locations

215 Treuhaft Blvd
Barbourville, KY 40906
Phone (606) 545-7227

Practitioners & affiliated clinicians

Practitioners 2

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1427201177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HOSPITAL DR",
            "address_2": "PO BOX 10",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067363",
            "telephone_number": "606-546-4175",
            "fax_number": "606-545-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067363",
            "telephone_number": "606-546-4175",
            "fax_number": "606-545-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACER MANAGEMENT OF KENTUCKY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACER HEALTH MANAGEMENT CORPORATION OF KENTUCKY",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-546-4175"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100024720",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01000348",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knox County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barbourville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.