NPIMap

Organization Active NPI

Lancaster Family Health Care

  • Rural Health Clinic/Center
  • Lancaster, KY
National Provider Identifier
1942946710
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LANCASTER FAMILY HEALTH CARE
Practice address
108 Lexington St
Lancaster, KY 40444-1156
Phone
(859) 304-5258
NPI assigned
May 5, 2022
Last updated
Mar 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Authorized official

Name
Kim Cox, APRNNPI 1326131434
Title
Owner
Phone
(859) 358-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

108 Lexington St
Lancaster, KY 40444-1156

Mailing address

108 Lexington St
Lancaster, KY 40444-1156
Phone (859) 304-5258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220826002856 KY Part A Provider - Rural Health Clinic 0446634216 Practice locations: Lancaster, KY
O20221212000838 KY Part B Supplier - Clinic/Group Practice 0446634216 Receives reassigned benefits from 30 practitioners
Practice locations: Lancaster, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942946710. Details of each certification follow.

Rural health clinic certification: CCN B03911

Legal name
LANCASTER FAMILY HEALTH CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 19, 2023
Last certification
Jan 19, 2023
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
Jan 12, 2022 in KY
Enrollment address
108 Lexington St
Lancaster, KY 40444-1156

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
18D2253753Lancaster Family Health Care Clinic108 Lexington St, Lancaster, KY 40444Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

108 Lexington St
Lancaster, KY 40444
Phone (859) 304-5258

Ownership & related parties

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.

NameRoleSinceShare
Kim Aprn Cox Individual 5% Or Greater Direct Ownership InterestMedical Staff Jan 12, 2022 100%
Corporate OfficerCeo Jan 12, 2022
W-2 Managing EmployeeCeo, Owner Jan 12, 2022

Owners & managing parties with NPI records 1

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

  • Kim B Cox, APRN
    • Psychiatric/Mental Health Nurse Practitioner
    • Booneville, KY
    • NPI 1326131434

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

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678492800000",
    "number": "1942946710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LEXINGTON ST",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404441156",
            "telephone_number": "859-304-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LEXINGTON ST",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404441156",
            "telephone_number": "859-304-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-358-4222",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, KY

Sources for this page

Verify at the official NPI Registry.