Organization Active NPI

Kentucky Center for the Prevention of Heart Attack Stoke and Diabetes

  • Family Medicine Physician
  • Glasgow, KY
National Provider Identifier
1679763049
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KENTUCKY CENTER FOR THE PREVENTION OF HEART ATTACK STOKE AND DIABETES
Practice address
1214 N Race St
Suite B
Glasgow, KY 42141-3462
Phone
(270) 670-8777
NPI assigned
Jul 31, 2007
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Phillip BaleNPI 1376533992
Title
Owner and Physician
Phone
(270) 670-8777

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1214 N Race St
Suite B
Glasgow, KY 42141-3462

Mailing address

1214 N Race St
Suite B
Glasgow, KY 42141-3462
Phone (270) 670-8777

National Provider Directory

National Provider Directory

Locations

1214 N Race St
Ste B
Glasgow, KY 42141
Phone (270) 629-5433

1320 N Race St
Glasgow, KY 42141
Phone (270) 629-5433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1679763049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 N RACE ST",
            "address_2": "SUITE B",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413462",
            "telephone_number": "270-670-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N RACE ST",
            "address_2": "SUITE B",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413462",
            "telephone_number": "270-670-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CENTER FOR THE PREVENTION OF HEART ATTACK STOKE AND DIABETES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "BALE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "270-670-8777"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.