SALYERSVILLE MEDICAL CENTER, LLC
NPI 1215984711
Clinic/Center - Rural Health in Salyersville, KY

Q: 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.

Q: 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.

Active since May 28, 2006CLIA 18D0977596 · Waiver

268 E MAPLE ST, SALYERSVILLE, KY 41465(606) 349-5300(606) 349-5312 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2023, Jul 21, 2022, Sep 20, 2017 (3 updates tracked since 2017).

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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

NPI1215984711

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSALYERSVILLE MEDICAL CENTER, LLC

Location Address268 E MAPLE STSalyersville, KY 41465-8032

Mailing AddressPo Box 2688Pikeville, KY 41502-2688 · (606) 432-2748 · Fax (606) 437-0438

Phone(606) 349-5300

Fax(606) 349-5312

Organization SubpartNo

Authorized OfficialDjien SoAdministrator · (606) 794-5600

Enumeration DateMay 28, 2006

Last NPPES UpdateMay 9, 20233 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1215984711 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

License✔ Licensed in KY · 900116

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3008377 (KY), 3007841 (KY)

268 E MAPLE ST, Salyersville, KY 41465

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Other Identifiers 1

Medicaid7100315420KY

Group Practice 2

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

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Waiver 18D0977596

Salyersville Medical Center · Salyersville, KY

Active · expires Dec 31, 2026

CLIA Number18D0977596

Laboratory TypeRural Health Clinic

Certificate Effective DateJanuary 1, 2025

Certificate Expiration DateDecember 31, 2026

Laboratory DirectorDr. Leonor Pagtakhan-So

Laboratory Phone(606) 349-5300

Laboratory LocationSalyersville Medical Center268 East Maple Street, Salyersville, KY 41465

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LACY D. RUSSELL APRN

Nurse Practitioner (Family)

268 E MAPLE ST
SALYERSVILLE, KY 41465

Magoffin County (606) 349-5300

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 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.

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 from Home State Health and Ambetter of Tennessee 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.