McCreary County Primary Care LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MCCREARY COUNTY PRIMARY CARE LLC

Practice address

65 Center Ave
Whitley City, KY 42653-4380

Phone

(859) 321-2919

NPI assigned

Jul 29, 2019

Last updated

Jul 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeannette Patrick

Title

Owner

Phone

(859) 321-2919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1639723638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 LAKECREST CIR STE 400-258",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CENTER AVE",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426534380",
            "telephone_number": "859-321-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCREARY COUNTY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-321-2919"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffani Maggard
• Maranda Manning
• Charlotte Louise Marlow, LPCC
• Jessica Ann Mason, BCBA, LBA
• McCreary County Judge (McCreary County Ambulance Service)
• McCreary Medical Resources, LLC
• McCreary Primary Care Center, Inc
• Tracy M McDonald, LPCC
• Stephen M McKinley, OD
• Santanna Morgan, LPCA

• Rural Health Clinic/Center in Whitley City, KY
• Providers in Whitley City, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.