MEMBER MEDICAL, INC.
NPI 1154966778
Clinic/Center - Primary Care in Elizabethtown, KY

Active since November 07, 2019
3046 DOLPHIN DR STE 104, ELIZABETHTOWN, KY 42701(270) 307-1980(270) 505-4204 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Member Medical, Inc. NPPES

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

MEMBER MEDICAL, INC. (NPI 1154966778) is a healthcare organization registered as a primary care in Elizabethtown, Kentucky and active in the NPI registry since November 2019. The organization lists Sally Rineker, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154966778
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEMBER MEDICAL, INC.
Location Address3046 DOLPHIN DR STE 104Elizabethtown, KY 42701-7182
Mailing Address3046 Dolphin Dr Ste 104Elizabethtown, KY 42701-7182 · (270) 307-1980 · Fax (270) 505-4204
Fax(270) 505-4204
Organization SubpartNo
Authorized OfficialSally RinekerOffice Manager · (270) 307-1980
Enumeration DateNovember 7, 2019
NPI 1154966778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3046 DOLPHIN DR STE 104, Elizabethtown, KY 42701

CLIA Laboratory Certificates CMS CLIA

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 18D2153204

Member Medical, Dpc · Elizabethtown, KY
Expired · Aug 22, 2026
CLIA Number18D2153204
Laboratory TypePractitioner Other
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorMs. Christy Holder
Laboratory Phone(270) 307-1980
Laboratory LocationMember Medical, Dpc1230 Woodland Dr Ste 110, Elizabethtown, KY 42701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Member Medical, Inc.'s NPI number?

The NPI number for Member Medical, Inc. is 1154966778. It was assigned to this organization in the NPPES registry on November 7, 2019.

Where is Member Medical, Inc. located?

Member Medical, Inc. is located at 3046 Dolphin Dr Ste 104, Elizabethtown, KY 42701. The listed phone number is (270) 307-1980.

What is Member Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Member Medical, Inc. was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.