Active NPI
Hodgenville Clinic
- Family Medicine Physician
- Hodgenville, KY
National Provider Identifier
1730738444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HODGENVILLE CLINIC
- Practice address
- 207 West Main Street
Hodgenville, KY 42748-1559 - Phone
- (270) 358-3829
- Fax
- (270) 358-9350
- NPI assigned
- Sep 5, 2019
- Last updated
- Sep 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Preston, M.D.
- Title
- Owner
- Phone
- (270) 358-3829
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
207 West Main Street
Hodgenville, KY 42748-1559
Mailing address
207 West Main Street
Hodgenville, KY 42748-1559
Phone (270) 358-3829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64060908 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Hodgenville, KY
- NPI 1285685602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568160000000",
"number": "1730738444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 WEST MAIN STREET",
"city": "HODGENVILLE",
"state": "KY",
"postal_code": "427481559",
"telephone_number": "270-358-3829",
"fax_number": "270-358-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 WEST MAIN STREET",
"city": "HODGENVILLE",
"state": "KY",
"postal_code": "427481559",
"telephone_number": "270-358-3829",
"fax_number": "270-358-9350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HODGENVILLE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-11",
"status": "A",
"authorized_official_last_name": "PRESTON",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-358-3829",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64060908",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hodgenville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.