SALYERSVILLE MEDICAL CENTER, LLC
NPI 1215984711
Clinic/Center - Rural Health in Salyersville, KY
About Salyersville Medical Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALYERSVILLE MEDICAL CENTER, LLC (NPI 1215984711) is a healthcare organization registered as a rural health in Salyersville, Kentucky and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Djien So, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Salyersville Medical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Salyersville Medical Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 18D0977596
Salyersville Medical Center · Salyersville, KYFrequently 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 Salyersville Medical Center, LLC's NPI number?
The NPI number for Salyersville Medical Center, LLC is 1215984711. It was assigned to this organization in the NPPES registry on May 28, 2006.
Where is Salyersville Medical Center, LLC located?
Salyersville Medical Center, LLC is located at 268 E Maple St, Salyersville, KY 41465. The listed phone number is (606) 349-5300.
What is Salyersville Medical Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Salyersville Medical Center, LLC enrolled in Medicare?
Yes. Salyersville Medical Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Salyersville Medical Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Salyersville Medical Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Allergy/Immunology (1) and Clinical Social Worker (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Salyersville Medical Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D0977596) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Salyersville Medical Center, LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Salyersville Medical Center, 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 Salyersville Medical Center, LLC was last updated on May 9, 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.
# Salyersville Medical Center, Llc · NPI 1215984711
Rural Health organization in Salyersville, Kentucky. Organization record, active in the CMS NPPES registry since May 28, 2006.
## Identity
- **NPI:** 1215984711 (Entity type: Organization)
- **Enumerated:** May 28, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Djien So, ADMINISTRATOR
## Practice location
- **Address:** 268 E MAPLE ST, Salyersville, KY 41465-8032
- **Phone:** (606) 349-5300 · **Fax:** (606) 349-5312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Allergy/Immunology (1), Clinical Social Worker (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2023
- **Other identifiers:** Medicaid 7100315420 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215984711) · Data from the CMS NPPES public registry.