NPIMap

Organization Active NPI

Manchester Family Practice Clinic

  • Family Medicine Physician
  • Manchester, KY
National Provider Identifier
1447201207
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
900112 Issued in KY
Legal business name
MANCHESTER FAMILY PRACTICE CLINIC
Practice address
2734 S Highway 421
Manchester, KY 40962-7515
Phone
(606) 599-0609
Fax
(606) 599-8419
NPI assigned
May 15, 2006
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Robert A. Carter Jr.
Title
President
Phone
(606) 528-0283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 900112 KY Primary

Addresses

Primary practice location

2734 S Highway 421
Manchester, KY 40962-7515

Mailing address

PO Box 1125
Corbin, KY 40702-1125
Phone (606) 528-0283

National Provider Directory

National Provider Directory

Locations

103 Main St
Manchester, KY 40962
Phone (606) 598-5025

Practitioners & affiliated clinicians

Practitioners 5

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": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1447201207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021125",
            "telephone_number": "606-528-0283",
            "fax_number": "606-528-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 S HIGHWAY 421",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627515",
            "telephone_number": "606-599-0609",
            "fax_number": "606-599-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-528-0283",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "900112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.