NPIMap

Organization Active NPI

Compassion Services

  • Rural Health Clinic/Center
  • Pikeville, KY
National Provider Identifier
1619642972
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COMPASSION SERVICES
Practice address
484 Tollage CRK
Pikeville, KY 41501-3305
Phone
(606) 230-2255
Fax
(606) 437-3001
NPI assigned
Aug 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Lesley Kyle Bow, MDNPI 1356592968
Title
Ceo
Phone
(407) 456-4591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

484 Tollage CRK
Pikeville, KY 41501-3305

Mailing address

484 Tollage CRK
Pikeville, KY 41501-3305
Phone (606) 230-2255

Other identifiers 1

IdentifierTypeStateIssuer
7100811280MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210928003401 KY Part A Provider - Rural Health Clinic 5496152704 Practice locations: Pikeville, KY

Rural health clinic certification: CCN B03877

Legal name
COMPASSION SERVICES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 25, 2022
Last certification
Feb 10, 2025
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
484 Tollage CRK
Pikeville, KY 41501-3305

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2234164Compassion Services LLC484 Tollage Creek, Pikeville, KY 41501Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Locations

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lesley Kyle Bow Individual 5% Or Greater Direct Ownership InterestCeo Jan 8, 2021 100%
Corporate OfficerCeo Jan 8, 2021
Operational/Managerial ControlCeo Jan 8, 2021
Laurie Bow Individual Corporate OfficerCoo Jan 8, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Lesley Kyle Bow, MD
    • Pediatrics Physician
    • Pikeville, KY
    • NPI 1356592968

    5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1619642972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-03-15",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "BOW",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-456-4591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100811280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.