SOUTHFORK MEDICAL CLINIC PLLC
NPI 1295718757
Specialist in Whitley City, KY

Q: What is Southfork Medical Clinic PLLC's NPI number?

The NPI number for Southfork Medical Clinic PLLC is 1295718757. It was assigned to this organization in the NPPES registry on November 29, 2005.

Q: What is Southfork Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 29, 2005

71 MEDICAL LN, WHITLEY CITY, KY 42653(606) 376-7212(606) 376-7216 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Southfork Medical Clinic Pllc NPPES

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

SOUTHFORK MEDICAL CLINIC PLLC (NPI 1295718757) is a healthcare organization registered as a specialist in Whitley City, Kentucky and active in the NPI registry since November 2005. The organization lists Francis Pimentel, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1295718757

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHFORK MEDICAL CLINIC PLLC

Location Address71 MEDICAL LNWhitley City, KY 42653-4216

Mailing Address71 Medical LnWhitley City, KY 42653-4216 · (606) 376-7212 · Fax (606) 376-7216

Phone(606) 376-7212

Fax(606) 376-7216

Organization SubpartNo

Authorized OfficialFrancis PimentelMedical Director · (606) 376-7212

Enumeration DateNovember 29, 2005

Last NPPES UpdateAugust 23, 2011

✔ NPI 1295718757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

71 MEDICAL LN, Whitley City, KY 42653

Open in Google Maps ↗

Other Identifiers 4

Medicare OSCAR/certification183920KY

Medicare PIN183920KY

Medicaid35001593KY

Other07396KY · Medicare B

Group Practice 1

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

Other Providers at the Same Location NPPES 8

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

MRS. MELISSA BETH CHENG MSN, FNP

Nurse Practitioner