PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
NPI 1366227555
Clinic/Center - Rural Health in Whitesburg, KY

NPI Status: Active since August 28, 2023

Contact Information

47 HIGHWAY 119 S
WHITESBURG, KY
ZIP 41858
Phone: (606) 439-1300
Fax: (606) 439-1400

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 18D2291236
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-05-2025

About PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC

This page provides the complete NPI Profile along with additional information for Primary Care Centers Of Eastern Kentucky, Llc, a primary care provider established in Whitesburg, Kentucky operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1366227555 assigned on August 2023. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Raedawnua Jade Strunk (Credentialing)

NPI
1366227555
Provider Name
PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Entity Type
Organization
Location Address
47 HIGHWAY 119 S WHITESBURG, KY 41858
Location Phone
(606) 439-1300
Location Fax
(606) 439-1400
Mailing Address
PO BOX 1988 HAZARD, KY 41702
Mailing Phone
(606) 435-7642
Mailing Fax
(606) 439-1400
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-28-2023
Last Update Date
08-28-2023
Code Navigator

A primary care provider (PCP) like Primary Care Centers Of Eastern Kentucky, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RAEDAWNUA JADE STRUNK

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(606) 435-7642

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2291236
Facility Type
Physician Office
Certificate Effective Date
October 06, 2023
Certificate Expiration Date
October 05, 2025
Laboratory Director
MR. TYLER S. SPENCER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Primary Care Centers Of Eastern Kentucky, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366227555
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231264214510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 4 + 2 + 1 + 4 + 5 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1366227555 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104871862 SHANE MCDOUGAL MD
Individual
Family Medicine47 HIGHWAY 119 S STE 3
WHITESBURG, KY 41858
(606) 633-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366227555, enumerated in the NPI registry as an "organization" on August 28, 2023

The provider is located at 47 Highway 119 S Whitesburg, Ky 41858 and the phone number is (606) 439-1300

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider's CLIA number is 18D2291236 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 28, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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