CCMH Corporation

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CCMH CORPORATION

Doing business as

Express Care of Vevay

Practice address

309 11TH St
Carrollton, KY 41008-1435

Phone

(502) 732-3275

Fax

(502) 732-3289

NPI assigned

Feb 10, 2015

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheila Tomlinson

Title

Practice Manager

Phone

(502) 732-3278

Specialties & licenses 1

Addresses

Other names 1

• Express Care of Vevay Doing business as

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1780075911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W MAIN ST",
            "city": "VEVAY",
            "state": "IN",
            "postal_code": "470431127",
            "telephone_number": "812-226-6073",
            "fax_number": "812-226-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3275",
            "fax_number": "502-732-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCMH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "502-732-3278"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Care of Vevay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Care of Vevay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CCMH Corporation (Carrollton Medical Associates)
• CCMH Corporation (CCMH Surgical Practice)
• CCMH Corporation (Carroll County Memorial Hospital Rural Health Clinic)
• CCMH Corporation (CCMH Surgical Practice)
• CCMH Corporation (CCMH Outpatient Pharmacy)
• CCMH Corporation (CCMH Foot and Ankle Center)
• CCMH Corporation (Carroll County Anesthesia Group)
• Erica A. Chowning, APRN
• William Clark, PHARMD
• Jennifer Ann Cole, APRN

• Family Nurse Practitioner in Carrollton, KY
• Providers in Carrollton, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.