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RED RIVER HEALTH CARE
NPI 1013954510
Clinic/Center - Rural Health in Stanton, KY

Active since June 01, 2006CLIA Certified · 2 labs
321C E COLLEGE AVE, STANTON, KY 40380(606) 663-9797(606) 663-9470 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Red River Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED RIVER HEALTH CARE (NPI 1013954510) is a healthcare organization registered as a rural health in Stanton, Kentucky and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Djien Hwat So, Operating Manager, as its authorized official.

NPPES Registry Identity

NPI1013954510
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC ASSOCIATES
Location Address321C E COLLEGE AVEStanton, KY 40380-2325
Mailing AddressPo Box 2748Pikeville, KY 41502-2748 · (606) 432-3221 · Fax (606) 437-0438
Phone(606) 663-9797
Fax(606) 663-9470
Organization SubpartNo
Authorized OfficialDjien Hwat SoOperating Manager · (606) 432-0174
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 21, 2017
✔ NPI 1013954510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in KY · 900183
Also ListedPediatricsTaxonomy 208000000X · License 900183 (KY)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1161 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3006123 (KY)
321C E COLLEGE AVE, Stanton, KY 40380
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Other Names 1

Doing Business AsRed River Health Care

Other Identifiers 3

Medicare OSCAR/certification183934
Medicare PIN9525KY
Medicaid35001783KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1007890

Red River Health Care · Stanton, KY
Active · expires Jun 21, 2027
CLIA Number18D1007890
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorDr. Leonor Pagtakhan-So
Laboratory Phone(606) 663-9797
Laboratory LocationRed River Health Care321 C East College Ave, Stanton, KY 40380
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D0982356

Pediatric Associates Of Pikeville · Pikeville, KY
Active · expires Jan 22, 2027
CLIA Number18D0982356
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorLeonor Pagtakhan-So
Laboratory Phone(606) 432-3221
Laboratory LocationPediatric Associates Of Pikeville156 Island Creek Road, Pikeville, KY 41501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH L MURPHY PA-C
Physician Assistant
321C E COLLEGE AVE
STANTON, KY 40380
Powell County (606) 663-9797
HALEY BLOOM APRN
Nurse Practitioner (Family)
321C E COLLEGE AVE
STANTON, KY 40380
Powell County (606) 663-9797
MARIE DAWN BAKER APRN
Nurse Practitioner (Family)
321C E COLLEGE AVE
STANTON, KY 40380
Powell County (606) 663-9797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Associates's NPI number?

The NPI number for Pediatric Associates is 1013954510. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Red River Health Care.

Where is Pediatric Associates located?

Pediatric Associates is located at 321C E College Ave, Stanton, KY 40380. The listed phone number is (606) 663-9797.

What is Pediatric Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pediatric Associates hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pediatric Associates accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Pediatric Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Associates was last updated on March 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.