Organization Active NPI

Eastern Kentucky Treatment

  • Multi-Specialty Clinic/Center
  • Pikeville, KY
National Provider Identifier
1821744863
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidKY
811034OtherKYOFFICE OF INSPECTOR GENERAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drchrono Direct

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
18D2245202Eastern Kentucky Treatment Center6800 US 23 South, Pikeville, KY 41501Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.