Organization Active NPI

Pineville Community Hospital Association Inc.

  • Certified Registered Nurse Anesthetist
  • Pineville, KY
National Provider Identifier
1528154705
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PINEVILLE COMMUNITY HOSPITAL ASSOCIATION INC.
Practice address
850 Riverview Rd
Pineville, KY 40977-1430
Phone
(606) 337-3051
Fax
(606) 337-2871
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Kevin Couch
Title
Controller
Phone
(606) 337-4282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

850 Riverview Rd
Pineville, KY 40977-1430

Mailing address

850 Riverview Rd
Pineville, KY 40977-1430
Phone (606) 337-3051

Other identifiers 2

IdentifierTypeStateIssuer
000000206420OtherKYANTHEM BCBS
74900234MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1528154705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW RD",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771430",
            "telephone_number": "606-337-3051",
            "fax_number": "606-337-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW RD",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771430",
            "telephone_number": "606-337-3051",
            "fax_number": "606-337-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE COMMUNITY HOSPITAL ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "606-337-4282"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000206420",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74900234",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.