TRI STATE FAMILY MEDICAL CENTER, LLC
NPI 1194959452
Clinic/Center - Primary Care in Louisa, KY

Active since May 14, 2009
2583 HIGHWAY 644 STE 1, LOUISA, KY 41230(606) 638-3131(606) 638-3139 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri State Family Medical Center, Llc NPPES

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

TRI STATE FAMILY MEDICAL CENTER, LLC (NPI 1194959452) is a healthcare organization registered as a primary care in Louisa, Kentucky and active in the NPI registry since May 2009. The organization lists Janice Gauze, Vice President, as its authorized official.

NPPES Registry Identity

NPI1194959452
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTRI STATE FAMILY MEDICAL CENTER, LLC
Location Address2583 HIGHWAY 644 STE 1Louisa, KY 41230-9436
Mailing Address2583 Highway 644 Ste 1Louisa, KY 41230-9436 · (606) 638-3131 · Fax (606) 638-3139
Fax(606) 638-3139
Organization SubpartNo
Authorized OfficialJanice GauzeVice President · (606) 638-3131
Enumeration DateMay 14, 2009
Last NPPES UpdateDecember 5, 2014
NPI 1194959452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in KY · 25469
Also ListedFamily MedicineTaxonomy 207Q00000X · License 25469 (KY)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 25469
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3007167 (KY)
2583 HIGHWAY 644 STE 1, Louisa, KY 41230

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

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 Tri State Family Medical Center, LLC's NPI number?

The NPI number for Tri State Family Medical Center, LLC is 1194959452. It was assigned to this organization in the NPPES registry on May 14, 2009.

Where is Tri State Family Medical Center, LLC located?

Tri State Family Medical Center, LLC is located at 2583 Highway 644 Ste 1, Louisa, KY 41230. The listed phone number is (606) 638-3131.

What is Tri State Family Medical Center, LLC'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 Tri State Family Medical Center, LLC was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.