Minuteman Medicine LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MINUTEMAN MEDICINE LLC

Practice address

17721 Ky Route 122
Hi Hat, KY 41636-6235

Phone

(606) 949-1006

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Michael Sanders, DONPI 1942301213

Title

DO

Phone

(606) 949-1006

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, KY3 enrollments

Enrollment records 3

Rural health clinic certification: CCN B03922

Legal name

MINUTEMAN MEDICINE LLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

May 8, 2023

Last certification

Apr 19, 2023

Ownership / control type

1B

Organization structure

LLCProprietary

Incorporated

Mar 10, 2014 in KY

Enrollment address

17721 Ky Route 122
Hi Hat, KY 41636-6235

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24673/brand/1/csg/1/fhir/r4

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Michael Brian Sanders, D.O.

  • Internal Medicine Physician
  • Hi Hat, KY
  • NPI 1942301213

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Minuteman Medicine LLC

  • Family Medicine Physician
  • Prestonsburg, KY
  • NPI 1700717071
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Brian Sanders, D.O.

  • Internal Medicine Physician
  • Hi Hat, KY
  • NPI 1942301213

  Internal Medicine, KY, SC

  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Dawn Boyd, APRN FNP-C

  • Family Nurse Practitioner
  • Langley, KY
  • NPI 1932766862

  KY

  Medicare reassignment Care Compare group NPD
• Kayla Rae Hall, APRN, FNP-C

  • Family Nurse Practitioner
  • Hi Hat, KY
  • NPI 1992501902

  KY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1871905166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17721 KY ROUTE 122",
            "city": "HI HAT",
            "state": "KY",
            "postal_code": "416366235",
            "telephone_number": "606-949-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17721 KY ROUTE 122",
            "city": "HI HAT",
            "state": "KY",
            "postal_code": "416366235",
            "telephone_number": "606-949-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3695 Spindrift Dr",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294667552",
            "country_code": "US",
            "telephone_number": "606-949-1006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3612 Goodwater St",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294667643",
            "country_code": "US",
            "telephone_number": "606-949-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINUTEMAN MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "606-949-1006",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "DO1053",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd County Health Department
• Kayla Rae Hall, APRN, FNP-C
• John E Isaac, OTR/L
• Left Beaver Civil Defense & Rescue Squad, Inc.
• Minuteman Community Care, LLC
• Michael Brian Sanders, D.O.
• Total Renal Care Inc

• Rural Health Clinic/Center in Hi Hat, KY
• Providers in Hi Hat, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.