NPIMap

Organization Active NPI

Pineville Medical Center, LLC

  • Internal Medicine Physician
  • Pineville, KY
National Provider Identifier
1912497405
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PINEVILLE MEDICAL CENTER, LLC
Practice address
850 Riverview Ave
Pineville, KY 40977-1452
Phone
(606) 337-3051
Fax
(606) 337-2871
NPI assigned
May 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Kevin Couch
Title
Controller
Phone
(606) 337-3051

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X

Addresses

Primary practice location

850 Riverview Ave
Pineville, KY 40977-1452

Mailing address

850 Riverview Ave
Pineville, KY 40977-1452
Phone (606) 337-3051

Other names 1

  • PCH Medical Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Pineville Medical Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1912497405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771452",
            "telephone_number": "606-337-3051",
            "fax_number": "606-337-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771452",
            "telephone_number": "606-337-3051",
            "fax_number": "606-337-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "606-337-3051"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCH Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pineville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.