East Ky Health Service Center
NPI 1376648139ActiveOrganization· Nurse Practitioner, Primary Care· Hindman, KY
Nurse Practitioner, Primary Care in Hindman, Kentucky, registered in NPPES in September 2006. The authorized official on file is Benny Ray Bailey, PH.D., Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376648139 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Jun 10, 2021 |
| Certified by provider | Jun 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 3008325 | KY |
| Clinic/Center, Dental | 261QD0000X | 6629 | KY |
| Clinic/Center, Primary Care | 261QP2300X | 700002 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
Other primary care nurse practitioners in Hindman
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