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BENTON HEALTH CARE, LLC
NPI 1023111929
Nurse Practitioner - Family in Benton, KY

Active since September 06, 2006
414 EAST 12TH STREET, BENTON, KY 42025(270) 527-3900(270) 527-3901 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Benton Health Care, Llc NPPES

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

BENTON HEALTH CARE, LLC (NPI 1023111929) is a healthcare organization registered as a family in Benton, Kentucky and active in the NPI registry since September 2006. The organization lists Jason Fiessinger, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1023111929
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBENTON HEALTH CARE, LLC
Location Address414 EAST 12TH STREETBenton, KY 42025
Mailing AddressPo Box 9150Paducah, KY 42002-9150 · (270) 744-9600 · Fax (270) 744-0834
Phone(270) 527-3900
Fax(270) 527-3901
Organization SubpartNo
Authorized OfficialJason FiessingerFamily Nurse Practitioner · (270) 527-3900
Enumeration DateSeptember 6, 2006
Last NPPES UpdateApril 20, 2012
✔ NPI 1023111929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · KY 3122P
414 EAST 12TH STREET, Benton, KY 42025
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Other Identifiers 3

Medicaid7100016040KY
Medicare PIN00223KY
Medicare PINDH1147KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Benton Health Care, LLC's NPI number?

The NPI number for Benton Health Care, LLC is 1023111929. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Benton Health Care, LLC located?

Benton Health Care, LLC is located at 414 East 12th Street, Benton, KY 42025. The listed phone number is (270) 527-3900.

What is Benton Health Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Benton Health Care, LLC was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.