Organization Active NPI

Regional Physicians Corporation II

Doing business as Clark Immediate Care Center

  • Urgent Care Clinic/Center
  • Winchester, KY
National Provider Identifier
1457468969
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
700085 Issued in KY
Legal business name
REGIONAL PHYSICIANS CORPORATION II
Doing business as
Clark Immediate Care Center
Practice address
1934 Bypass Rd
Winchester, KY 40391-2389
Phone
(859) 745-1160
Fax
(859) 745-7789
NPI assigned
Aug 23, 2006
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Mr. Robert Donald Fraraccio
Title
Ceo
Phone
(859) 745-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 700085 KY Primary
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

1934 Bypass Rd
Winchester, KY 40391-2389

Mailing address

PO Box 4140
Winchester, KY 40392-4140
Phone (859) 745-6471

Other identifiers 1

IdentifierTypeStateIssuer
65943011MedicaidKY

Other names 1

  • Clark Immediate Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1457468969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4140",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403924140",
            "telephone_number": "859-745-6471",
            "fax_number": "859-744-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 BYPASS RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912389",
            "telephone_number": "859-745-1160",
            "fax_number": "859-745-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PHYSICIANS CORPORATION II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "FRARACCIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-745-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "KY",
            "license": "700085",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65943011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Immediate Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.