Pikeville Medical Center Inc
Organization Active NPI Multi-Specialty Clinic/Center · Pikeville, KY
NPI 1669250064 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1669250064
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- PIKEVILLE MEDICAL CENTER INC
- Practice address
- 911 Bypass Rd BLDG a
Pikeville, KY 41501-1602 - Phone
- (606) 430-3500
- Fax
- (606) 432-6762
- NPI assigned
- Sep 18, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- PIKEVILLE MEDICAL CENTER INC
Authorized official
- Name
- Michelle Hagy
- Title
- Cfo
- Phone
- (606) 430-3519
Corporate family (same tax ID) 24
Practitioners 2
-
Eva Leigh Lizer, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240118003585 | NH | Part B Supplier - Clinic/Group Practice | 6709790157 |
Receives reassigned benefits from 2 practitioners Practice locations: Lee, NH; Amherst, NH |
National Provider Directory
- Tax ID family
- Pikeville Med Center Inc
- Part of
- Pikeville Med Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
911 Bypass Rd BLDG a
Pikeville, KY 41501-1602
Mailing address
PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-3500
Other practice location 1
16 Toon Ln
Lee, NH 03861-6507
Phone (606) 430-3500
Other providers in Pikeville, KY
- Pikeville Medical Center Inc
- Pikeville Medical Center Inc
- Pikeville Medical Center Inc
- Pikeville Medical Center Inc
- Pikeville Medical Center Inc
- Pikeville Medical Center Inc
- Pikeville Medical Center Inc
- Pikeville Medical Center Inc
- Pikeville Medical Center Inc
- Pikeville Medical Center Inc
All providers in Pikeville, KY · Multi-Specialty Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.