NPIMap

Organization Active NPI

Usp McCreary

  • Prison Health Clinic/Center
  • Pine Knot, KY
National Provider Identifier
1720324023
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
12669 Issued in PR
Legal business name
USP MCCREARY
Practice address
330 Federal Way
Pine Knot, KY 42635-7000
Phone
(606) 354-7160
Fax
(606) 354-7163
NPI assigned
Dec 14, 2012
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
FEDERAL BUREAU OF PRISONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Mrs. Beverly Barron
Title
Acting Health Services Administrato
Phone
(606) 354-7160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X 12669 PR Primary

Addresses

Primary practice location

330 Federal Way
Pine Knot, KY 42635-7000

Mailing address

330 Federal Way
Pine Knot, KY 42635-7000
Phone (606) 354-7160

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
18D2314168Usp McCreary330 Federal Way, Pine Knot, KY 42635Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Federal Transfer Center Oklahoma City49 organizations share this tax ID, including this one
Part of
Federal Transfer Center Oklahoma City

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

330 Federal Way
Pine Knot, KY 42635
Phone (606) 354-7160

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": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1720324023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FEDERAL WAY",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426357000",
            "telephone_number": "606-354-7160",
            "fax_number": "606-354-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FEDERAL WAY",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426357000",
            "telephone_number": "606-354-7160",
            "fax_number": "606-354-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USP MCCREARY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEDERAL BUREAU OF PRISONS",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "ACTING HEALTH SERVICES ADMINISTRATO",
        "authorized_official_telephone_number": "606-354-7160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "PR",
            "license": "12669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Knot, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.