Best Care Medical Clinic, LLC
Organization Active NPI Rural Health Clinic/Center · Cave City, KY
NPI 1891443404 · NPPES record last updated Mar 13, 2022
Key facts
- NPI
- 1891443404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BEST CARE MEDICAL CLINIC, LLC
- Practice address
- 701 S Dixie Hwy
Cave City, KY 42127-8823 - Phone
- (270) 773-7777
- Fax
- (271) 773-7778
- NPI assigned
- Mar 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Russell England, NP
- Title
- Owner
- Phone
- (270) 773-7777
Owners & managing parties with NPI records 1
-
Russell England, APRN
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 3
-
Russell England, APRN
-
Rachel Paige Houchen, APRN
-
Constance R Prostko, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Rural health clinic certification: CCN B03908
- Legal name
- BEST CARE MEDICAL CLINIC, LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 28, 2022
- Last certification
- Dec 28, 2022
- Ownership / control type
- 1B
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 23, 2018 in KY
- Enrollment address
- 701 S Dixie Hwy
Cave City, KY 42127-8823
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Russell K England |
5% Or Greater Direct Ownership Interest |
Aug 23, 2018 | 100% |
| Corporate Officer |
Aug 23, 2018 | ||
| Nicole McNeiley |
W-2 Managing Employee |
Mar 30, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220701001364 | KY | Part a Provider - Rural Health Clinic | 2163761172 | Practice locations: Cave City, KY |
National Provider Directory
- Tax ID family
- Best Care Medical Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
701 S Dixie Hwy
Cave City, KY 42127-8823
Mailing address
701 S Dixie Hwy
Cave City, KY 42127-8823
Phone (270) 773-7777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100574480 | Medicaid | KY |
Other providers in Cave City, KY
- Sheldon A Ballou
- Barren River Wellness LLC
- Best Care Medical Clinic, LLC
- Michael G Branstetter
- Jennifer D. Briggs
- Cave City Chiro PLLC
- Cave City Prescription Center Inc
- Cave City RX Center
All providers in Cave City, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.