PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
NPI 1366227555
Clinic/Center - Rural Health in Whitesburg, KY

Q: What is Primary Care Centers Of Eastern Kentucky, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since August 28, 2023CLIA 18D2291236 · Waiver

47 HIGHWAY 119 S, WHITESBURG, KY 41858(606) 439-1300(606) 439-1400 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Primary Care Centers Of Eastern Kentucky, Llc NPPES

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

PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC (NPI 1366227555) is a healthcare organization registered as a rural health in Whitesburg, Kentucky and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Raedawnua Jade Strunk, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1366227555

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC

Location Address47 HIGHWAY 119 SWhitesburg, KY 41858-6100

Mailing AddressPo Box 1988Hazard, KY 41702-1988 · (606) 435-7642 · Fax (606) 436-5282

Phone(606) 439-1300

Fax(606) 439-1400

Organization SubpartYes

Authorized OfficialRaedawnua Jade StrunkCredentialing · (606) 435-7642

Enumeration DateAugust 28, 2023

NPPES CertifiedAugust 28, 2023

✔ NPI 1366227555 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

Also ListedClinic/CenterTaxonomy 261Q00000X

47 HIGHWAY 119 S, Whitesburg, KY 41858

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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 18D2291236

Primary Care Centers Of Eastern Kentucky · Whitesburg, KY

Active · expires Oct 5, 2027

CLIA Number18D2291236

Laboratory TypePhysician Office

Certificate Effective DateOctober 6, 2025

Certificate Expiration DateOctober 5, 2027

Laboratory DirectorMr. Tyler S. Spencer

Laboratory Phone(606) 435-7651

Laboratory LocationPrimary Care Centers Of Eastern Kentucky47 Highway 119, S, Ste 3, Whitesburg, KY 41858

CLIA data matches this NPI record on: Address Name

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.

SHANE MCDOUGAL MD

Family Medicine

47 HIGHWAY 119 S, STE 3
WHITESBURG, KY 41858

Letcher County (606) 633-7000

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 Primary Care Centers Of Eastern Kentucky, LLC's NPI number?

The NPI number for Primary Care Centers Of Eastern Kentucky, LLC is 1366227555. It was assigned to this organization in the NPPES registry on August 28, 2023.

Where is Primary Care Centers Of Eastern Kentucky, LLC located?

Primary Care Centers Of Eastern Kentucky, LLC is located at 47 Highway 119 S, Whitesburg, KY 41858. The listed phone number is (606) 439-1300.

What is Primary Care Centers Of Eastern Kentucky, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Primary Care Centers Of Eastern Kentucky, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2291236) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Centers Of Eastern Kentucky, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Primary Care Centers Of Eastern Kentucky, 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 Primary Care Centers Of Eastern Kentucky, LLC was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.