Western Ky Medical, LLC
Clinic/Center, Methadone Clinic in Hopkinsville, Kentucky
1619395605- Practice location
- 609 Hammond Plz, Hopkinsville, KY 42240-4971
- Phone
- 270-887-8333
- Fax
- —
- Last updated
- December 20, 2019
Western Ky Medical, LLC is a healthcare organization based in Hopkinsville, KY. Western Ky Medical, LLC practices in Hopkinsville, KY. The NPI Number for Western Ky Medical, LLC is 1619395605 and holds a License No. 810381 (KY). The current practice location address for Western Ky Medical, LLC is 609 Hammond Plz, Hopkinsville, KY 42240-4971 and can be reached out via phone at 270-887-8333.
Provider Profile Details
- NPI Number
- 1619395605
- Provider Name
- Western Ky Medical, LLC
- Provider Entity Type
- Organization
- Address
- 609 Hammond Plz, Hopkinsville, KY 42240-4971
- Phone Number
- 270-887-8333
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- Yes
- Parent Organization
- Pinnacle Treatment Centers, INC
- Authorized Official
- Robyn Tanis · Executive Director Practice Mgmt · 856-533-8762
- Provider Enumeration Date
- April 7, 2014
- Last Update Date
- December 20, 2019
- Certification Date
- December 20, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 609 Hammond Plz
Hopkinsville, KY 42240-4971 - City
- Hopkinsville
- State
- Kentucky
- Zip
- 42240-4971
- Phone Number
- 270-887-8333
Provider Business Mailing Address Details
- Address
- 1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202 - City
- Mount Laurel
- State
- NJ
- Zip
- 08054-2202
- Phone Number
- 856-439-6111
License Information
- License Number
- 810381
- License State
- KY
- Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Western Ky Medical, LLC?
The NPI number of Western Ky Medical, LLC is 1619395605. It was assigned on April 7, 2014 and is currently active in the NPPES registry.
What is the specialty of Western Ky Medical, LLC?
Western Ky Medical, LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed in KY under license number 810381.
Where does Western Ky Medical, LLC practice?
The practice location is 609 Hammond Plz, Hopkinsville, KY 42240-4971. The office can be reached at 270-887-8333 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619395605 directly on the NPPES registry website.