Fairview Physicians Network, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAIRVIEW PHYSICIANS NETWORK, LLC

Doing business as

Jennie Stuart Medical Group

Practice address

120 N Main St
Trenton, KY 42286-9734

Phone

(270) 466-9300

Fax

(270) 466-3300

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

JENNIE STUART MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Eric Lee

Title

Ceo/President

Phone

(270) 887-0100

Specialties & licenses 1

Addresses

Other names 1

• Jennie Stuart Medical Group Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Peter R Isele MD

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jennie Stuart Medical Center Inc

  dba Jennie Stuart Family Health

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1679293369

  Member Of

  NPD member

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Jennie Stuart Medical Center Inc

  dba Jennie Stuart Family Health

  • Rural Health Clinic/Center
  • Trenton, KY
  • NPI 1407576580

  Sold to, 2022-12-05

  CMS change of ownership

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1437602745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401961",
            "telephone_number": "270-707-2100",
            "fax_number": "270-707-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST",
            "city": "TRENTON",
            "state": "KY",
            "postal_code": "422869734",
            "telephone_number": "270-466-9300",
            "fax_number": "270-466-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW PHYSICIANS NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNIE STUART MEDICAL CENTER",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "270-887-0100"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennie Stuart Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malinda Bargatze-Smith
• Kristen Taylor Beasley
• Mark Rue Campbell, MD
• Shannon Elizabeth Cole, DNP,APRN,BC
• Mychal Elizabeth Cox, MS, CCC-SLP
• Jennie Stuart Medical Center Inc (Jennie Stuart Family Health)
• Will Allen Osborn, RPH
• Trenton Clinic, LLC
• Jeanie L Wadlington, APRN

• Rural Health Clinic/Center in Trenton, KY
• Providers in Trenton, 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 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.