RED RIVER HEALTH CARE
NPI 1013954510
Clinic/Center - Rural Health in Stanton, KY
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
Specialties & Licenses 4
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Red River Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Red River Health Care, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, KYCertificate of Waiver 18D0982356
Pediatric Associates Of Pikeville · Pikeville, KYFrequently 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.
Is Pediatric Associates enrolled in Medicare?
Yes. Pediatric Associates is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pediatric Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Pediatric Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Allergy/Immunology (1) and Clinical Social Worker (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 of Tennessee and Anthem Blue Cross and Blue Shield 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Red River Health Care · NPI 1013954510
Rural Health organization in Stanton, Kentucky. Organization record, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1013954510 (Entity type: Organization)
- **Enumerated:** June 1, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Pediatric Associates
- **Organization subpart:** No
- **Authorized official:** Djien So, OPERATING MANAGER
## Practice location
- **Address:** 321C E COLLEGE AVE, Stanton, KY 40380-2325
- **Phone:** (606) 663-9797 · **Fax:** (606) 663-9470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Allergy/Immunology (1), Clinical Social Worker (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2017
- **Other identifiers:** Medicare OSCAR/certification 183934; Medicare PIN 9525 (KY); Medicaid 35001783 (KY)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013954510) · Data from the CMS NPPES public registry.