Newborn & Kids Health Center, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

NEWBORN & KIDS HEALTH CENTER, INC.

Practice address

215 Treuhaft Blvd
Ste. 8
Barbourville, KY 40906-7361

Phone

(606) 248-7778

Fax

(606) 248-7787

NPI assigned

Dec 1, 2015

Last updated

Nov 6, 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

Dr. Mohamad Hakam Alnahhas, M.D.NPI 1568463834

Title

President

Phone

(606) 277-0173

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891169926. Details of each certification follow.

• CCN 188950 Rural health clinic · Active · Details

Rural health clinic certification: CCN 188950

Legal name

NEWBORN & KIDS HEALTH CENTER INC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Mar 9, 2016

Last certification

Mar 9, 2016

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Nov 17, 2015 in KY

Enrollment address

215 Treuhaft Blvd
Ste 8
Barbourville, KY 40906-7361

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

CLIA laboratory certificates

Locations

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.

• Mohamad Hakam Alnahhas, M.D.

  • Pediatrics Physician
  • Middlesboro, KY
  • NPI 1568463834

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 7

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.

• Mohamad Hakam Alnahhas, M.D.

  • Pediatrics Physician
  • Middlesboro, KY
  • NPI 1568463834
  Medicare reassignment NPD Authorized official
• Samantha Corey, APRN

  • Family Nurse Practitioner
  • Barbourville, KY
  • NPI 1699215145
  Medicare reassignment Care Compare group NPD
• Heather Nicole Davis, APRN

  • Family Nurse Practitioner
  • Barbourville, KY
  • NPI 1104423383
  Medicare reassignment Care Compare group NPD
• Tammy Sue Gambrel, FNP

  • Family Nurse Practitioner
  • Barbourville, KY
  • NPI 1568984706
  Medicare reassignment Care Compare group NPD
• Rachel Bargo, APRN

  • Nurse Practitioner
  • Barbourville, KY
  • NPI 1396145447
  Medicare reassignment NPD
• Amy Shelton, APRN

  • Family Nurse Practitioner
  • Barbourville, KY
  • NPI 1073050886
  Medicare reassignment NPD
• Zaher Iskandarani, MD

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1457369027

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1891169926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TREUHAFT BLVD STE 8",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067361",
            "telephone_number": "606-277-0173",
            "fax_number": "606-277-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TREUHAFT BLVD",
            "address_2": "STE. 8",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067361",
            "telephone_number": "606-248-7778",
            "fax_number": "606-248-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBORN & KIDS HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "ALNAHHAS",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "HAKAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-277-0173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rural Health Clinic/Center in Barbourville, KY
• Providers in Barbourville, 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 Nov 6, 2020; 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.