Organization Active NPI

Supportive Med

  • Primary Care Clinic/Center
  • Ashland, KY
National Provider Identifier
1598200602
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
010417 1 Issued in KY
Legal business name
SUPPORTIVE MED
Practice address
1224 Hoods Creek Pike
Ashland, KY 41101-7220
Phone
(606) 324-0334
Fax
(606) 324-0447
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Ms. Jeri Jones Craft
Title
Owner/Director
Phone
(606) 324-0334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 010417 1 KY Primary

Addresses

Primary practice location

1224 Hoods Creek Pike
Ashland, KY 41101-7220

Mailing address

1224 Hoods Creek Pike
Ashland, KY 41101-7220
Phone (606) 324-0334

National Provider Directory

National Provider Directory

Locations

1619 Diederich Blvd
Ste B
Russell, KY 41169
Phone (606) 324-0334

1619 Diederich Blvd
Russell, KY 41169
Phone (606) 324-0334

1452 Diederich Blvd
Russell, KY 41169
Phone (606) 836-6022

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1598200602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 HOODS CREEK PIKE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017220",
            "telephone_number": "606-324-0334",
            "fax_number": "606-324-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 HOODS CREEK PIKE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017220",
            "telephone_number": "606-324-0334",
            "fax_number": "606-324-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "606-324-0334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "010417 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.