FIRST CHOICE IMMEDIATE CARE (CUMBERLAND FAMILY MEDICAL CENTER, INC) NPI 1073029047

Clinic/Center (Federally Qualified Health Center (FQHC)) in Columbia, KY

NPI 1073029047 Organization Clinic/Center Federally Qualified Health Center (FQHC) CLIA Number 18D2141611 CLIA Certificate of Compliance

About FIRST CHOICE IMMEDIATE CARE (CUMBERLAND FAMILY MEDICAL CENTER, INC)

First Choice Immediate Care (cumberland Family Medical Center, Inc) is a primary care provider established in Columbia, Kentucky specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of First Choice Immediate Care (cumberland Family Medical Center, Inc) is 1073029047 and was assigned on December 2017. The practitioner's primary taxonomy code is 261QF0400X with license number 700172 (KY). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as First Choice Immediate Care. The authorized official of this NPI record is Mr. Eric E Loy Md (Ceo)

A primary care provider (PCP) like First Choice Immediate Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of First Choice Immediate Care is 18D2141611 registered as a "federally qualified health center" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to First Choice Immediate Care after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1073029047

Provider NameFIRST CHOICE IMMEDIATE CARE (CUMBERLAND FAMILY MEDICAL CENTER, INC)
Provider Location Address197 WILL WALKER ROAD COLUMBIA, KY 42728
Provider Mailing AddressPO BOX 1080 360 KEEN STREET BURKESVILLE, KY 42717
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFIRST CHOICE IMMEDIATE CARE
Other Name TypeDoing Business As (3)
Enumeration Date12-28-2017
Last Update Date12-28-2017


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)
License No.700172
License StateKY

Business Address

FIRST CHOICE IMMEDIATE CARE
197 WILL WALKER ROAD
COLUMBIA, KY
ZIP 42728
Phone: (270) 384-9981
Fax: (270) 384-9989

Get Directions


Mailing Address

FIRST CHOICE IMMEDIATE CARE
PO BOX 1080
360 KEEN STREET
BURKESVILLE, KY
ZIP 42717
Phone: (270) 858-6655
Fax: (270) 858-4026



Authorized Official

Authorized Official NameMR. ERIC E LOY MD
Authorized Official TitleCEO
Authorized Official Phone(270) 858-6655

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1073029047 is:

CLIA Number18D2141611
Facility TypeFEDERALLY QUALIFIED HEALTH CENTER
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7100017280MEDICAID (05)KY

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.