Active NPI
Eastern Kentucky Treatment
- Multi-Specialty Clinic/Center
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- EASTERN KENTUCKY TREATMENT
- Practice address
- 6800 US Highway 23 S Ste 2&3
Pikeville, KY 41501-3701 - Phone
- (606) 637-2479
- NPI assigned
- Feb 28, 2022
- Last updated
- Feb 28, 2022
- 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
- Susan Conn
- Title
- Manager
- Phone
- (606) 616-2391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
6800 US Highway 23 S Ste 2&3
Pikeville, KY 41501-3701
Mailing address
6800 US Highway 23 S Ste 2&3
Pikeville, KY 41501-3701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | KY | |
| 811034 | Other | KY | OFFICE OF INSPECTOR GENERAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drchrono | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2245202 | Eastern Kentucky Treatment Center | Certificate of waiver | Dec 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
6800 US Highway 23 S
Pikeville, KY 41501
Phone (304) 908-1056
6800 US Highway 23 S
Ste 23
Pikeville, KY 41501
Phone (606) 637-2479
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Nurse Practitioner
- Mouthcard, KY
- NPI 1184129876
-
- Professional Counselor
- Pikeville, KY
- NPI 1063647162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646006400000",
"number": "1821744863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 US HIGHWAY 23 S STE 2&3",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 US HIGHWAY 23 S STE 2&3",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013701",
"telephone_number": "606-637-2479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN KENTUCKY TREATMENT",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A",
"authorized_official_last_name": "CONN",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "606-616-2391"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF INSPECTOR GENERAL",
"identifier": "811034",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "drchrono",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6800 US Highway 23 S",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415013701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pikeville, KY
- East Kentucky Oral & Maxillofacial Surgery, PSC
- East Ky Pulmonary & Associates
- Jaden Keleigh Easterling, RBT
- Eastern Kentucky Emergency Physicians, LLC
- Eastern Kentucky Kidney Care, PSC
- Eastern Ky Bone & Joint Surgery, PSC
- Eastern Ky Center for Plastic, Reconstructive & Cosmetic Surgery (Kentucky Center for Plastic Surgery)
- Eastern Ky. Bone & Joint Surgery,PSC
- Economy Drug Company Inc
- Economy Drug Company Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.