Rachel R Eubank, MD
Individual provider Active NPI Family Medicine Physician · Evarts, KY
NPI 1700810314 · NPPES record last updated Oct 21, 2015
Key facts
- NPI
- 1700810314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14448 (KY)
- Practice address
- 101 Chad St
Cloverfork Clinic
Evarts, KY 40828-0039 - Phone
- (606) 837-2108
- Fax
- (606) 837-9389
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14448 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Past | Accepting new patients | |
| Mountain Medical Enterprises, PLLC | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14448 | KY | Yes |
Addresses
Primary practice location
101 Chad St
Cloverfork Clinic
Evarts, KY 40828-0039
Mailing address
101 Chad St
PO Box 39
Evarts, KY 40828-0039
Phone (606) 837-2108
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000044848 | Other | KY | ANTHEM |
| 64052962 | Medicaid | KY |
Other providers in Evarts, KY
- Clover Fork Outpatient Medical Project Inc
- Clover Fork Outpatient Medical Project Inc
- Sharon M Colton
- Cumberland Valley Dist. Health Dept.
- Discreet Therapy Services LLC.
- Barbara Kaye Middleton
- William Morgan Miller
- My Time Counseling Services for Professionals, P.L.L.C.
- Jarrod Bradley Napier
- Michael W Napier
All providers in Evarts, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.