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CROFTON CLINIC PSC
NPI 1194253245
Clinic/Center - Rural Health in Crofton, KY

Active since June 01, 2017CLIA 18D2131611 · Waiver
241 S MADISONVILLE ST, CROFTON, KY 42217(270) 220-0420 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2018, Jun 1, 2017 (2 updates tracked since 2017).

About Crofton Clinic Psc NPPES

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

CROFTON CLINIC PSC (NPI 1194253245) is a healthcare organization registered as a rural health in Crofton, Kentucky and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Manoj Majmudar, Owner, as its authorized official.

NPPES Registry Identity

NPI1194253245
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCROFTON CLINIC PSC
Location Address241 S MADISONVILLE STCrofton, KY 42217-8009
Mailing Address241 S Madisonville StCrofton, KY 42217-8009 · (270) 220-0240
Phone(270) 220-0420
Organization SubpartNo
Authorized OfficialManoj MajmudarOwner · (270) 220-0240
Enumeration DateJune 1, 2017
Last NPPES UpdateMarch 1, 20182 updates tracked since enumeration
✔ NPI 1194253245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal MedicineTaxonomy 207R00000X
241 S MADISONVILLE ST, Crofton, KY 42217
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 18D2131611

Crofton Clinic, Psc · Crofton, KY
Active · expires Jun 1, 2027
CLIA Number18D2131611
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorDr. Manoj Majmudar
Laboratory Phone(270) 220-0240
Laboratory LocationCrofton Clinic, Psc241 South Madisonville Road, Crofton, KY 42217
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA D POGUE APRN, FNP-C
Nurse Practitioner (Family)
241 S MADISONVILLE ST
CROFTON, KY 42217
Christian County (270) 220-0240
JENNIE STUART MEDICAL CENTER INC
Clinic/Center (Rural Health)
241 S MADISONVILLE ST
CROFTON, KY 42217
Christian County (270) 220-0240
ERIKA DANIELLE CHAMPION FNP
Nurse Practitioner (Family)
241 S MADISONVILLE ST
CROFTON, KY 42217
Christian County (280) 220-0240

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 Crofton Clinic Psc's NPI number?

The NPI number for Crofton Clinic Psc is 1194253245. It was assigned to this organization in the NPPES registry on June 1, 2017.

Where is Crofton Clinic Psc located?

Crofton Clinic Psc is located at 241 S Madisonville St, Crofton, KY 42217. The listed phone number is (270) 220-0420.

What is Crofton Clinic Psc's specialty?

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

Does Crofton Clinic Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2131611) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crofton Clinic Psc was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.