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PRIMARY CARE CENTERS OF EASTERN KENTUCKY-VICCO
NPI 1184676314
Clinic/Center - Rural Health in Scuddy, KY

Active since May 16, 2006CLIA 18D1046104 · Certificate of Compliance
10616 S KY HWY 15, SUITE A, SCUDDY, KY 41760(606) 476-2274(606) 476-2304 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primary Care Centers Of Eastern Kentucky-vicco NPPES

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

PRIMARY CARE CENTERS OF EASTERN KENTUCKY-VICCO (NPI 1184676314) is a healthcare organization registered as a rural health in Scuddy, Kentucky and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 17, 2026 and lists Barry K Martin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184676314
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Location Address10616 S KY HWY 15, SUITE AScuddy, KY 41760-9033
Mailing AddressPo Box 1988, Suite BHazard, KY 41702-1988 · (606) 439-1300 · Fax (606) 439-1400
Phone(606) 476-2274
Fax(606) 476-2304
Organization SubpartNo
Authorized OfficialBarry K MartinCeo · (606) 439-1300
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 26, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1184676314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
10616 S KY HWY 15, Scuddy, KY 41760
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Other Names 1

Doing Business AsPrimary Care Centers Of Eastern Kentucky-vicco

Other Identifiers 2

Other000000560892KY · Bc/bs
Medicaid35002039KY

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

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 Compliance 18D1046104

Primary Care Centers Of Eastern Kentucky - Vicco · Scuddy, KY
Active · expires Dec 17, 2026
CLIA Number18D1046104
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorMr. Tyler S. Spencer
Laboratory Phone(606) 476-2274
Laboratory LocationPrimary Care Centers Of Eastern Kentucky - Vicco10616 South Ky Hwy 15, Scuddy, KY 41760
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Primary Care Centers Of Eastern Kentucky, LLC's NPI number?

The NPI number for Primary Care Centers Of Eastern Kentucky, LLC is 1184676314. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Primary Care Centers Of Eastern Kentucky-Vicco.

Where is Primary Care Centers Of Eastern Kentucky, LLC located?

Primary Care Centers Of Eastern Kentucky, LLC is located at 10616 S Ky Hwy 15 Suite A, Scuddy, KY 41760. The listed phone number is (606) 476-2274.

What is Primary Care Centers Of Eastern Kentucky, LLC's specialty?

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

Does Primary Care Centers Of Eastern Kentucky, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D1046104) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Centers Of Eastern Kentucky, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Primary Care Centers Of Eastern Kentucky, LLC 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 Primary Care Centers Of Eastern Kentucky, LLC was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.