PINELAKE PHYSICIAN PRACTICE LLC
NPI 1275178089
Clinic/Center - Rural Health in Mayfield, KY
About Pinelake Physician Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINELAKE PHYSICIAN PRACTICE LLC (NPI 1275178089), doing business as Jackson Purchase Primary Care Hussain Clinic, is a healthcare organization registered as a rural health in Mayfield, Kentucky and active in the NPI registry since November 2019. The organization lists Kathy Teague, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pinelake Physician Practice LLC's NPI number?
The NPI number for Pinelake Physician Practice LLC is 1275178089. It was assigned to this organization in the NPPES registry on November 15, 2019. The provider is doing business as Jackson Purchase Primary Care Hussain Clinic.
Where is Pinelake Physician Practice LLC located?
Pinelake Physician Practice LLC is located at 417 S 6th St, Mayfield, KY 42066. The listed phone number is (270) 247-1104.
What is Pinelake Physician Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
When was this NPI record last updated?
The NPPES record for Pinelake Physician Practice LLC was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Pinelake Physician Practice Llc · NPI 1275178089
Rural Health organization in Mayfield, Kentucky. Organization record, active in the CMS NPPES registry since November 15, 2019.
## Identity
- **NPI:** 1275178089 (Entity type: Organization)
- **Enumerated:** November 15, 2019
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Jackson Purchase Primary Care Hussain Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kathy Teague, SECRETARY
## Practice location
- **Address:** 417 S 6TH ST, Mayfield, KY 42066-2311
- **Phone:** (270) 247-1104
## Record status
- **NPPES last updated:** November 15, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1275178089) · Data from the CMS NPPES public registry.