FAMILY PRACTICE CLINIC PSC - NPI 1467454041 - Family Medicine in Marion, KY

Q: What is Family Practice Clinic Psc's NPI number?

The NPI number for Family Practice Clinic Psc is 1467454041. It was assigned to this organization in the NPPES registry on August 12, 2005.

Q: What is Family Practice Clinic Psc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

On this page

About Family Practice Clinic Psc NPPES

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

FAMILY PRACTICE CLINIC PSC (NPI 1467454041) is a healthcare organization registered as a family medicine in Marion, Kentucky and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Howard G Maddux, President, as its authorized official.

NPPES Registry Identity

NPI1467454041

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY PRACTICE CLINIC PSC

Location Address518 WEST GUM STREETMarion, KY 42064-1516

Mailing AddressPo Box 559Marion, KY 42064-0559 · (270) 965-5238 · Fax (270) 965-9015

Phone(270) 965-5238

Fax(270) 965-9015

Organization SubpartNo

Authorized OfficialHoward G MadduxPresident · (270) 965-5238

Enumeration DateAugust 12, 2005

Last NPPES UpdateFebruary 9, 2011

✔ NPI 1467454041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

518 WEST GUM STREET, Marion, KY 42064

Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified2761KY

Medicare OSCAR/certification183963

Medicare ID-Type UnspecifiedC10742KY · Railroad Medicare

Medicaid78900719KY

Medicaid65905770KY

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 MULTIPLE SINGLE SPECIALTY GROUP

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 18D0325567

Family Practice Clinic · Marion, KY

Active · expires Feb 5, 2027

CLIA Number18D0325567

Laboratory TypePhysician Office

Certificate Effective DateFebruary 6, 2025

Certificate Expiration DateFebruary 5, 2027

Laboratory DirectorMs. Barbara A. Stone

Laboratory Phone(270) 965-1058

Laboratory LocationFamily Practice Clinic518 West Gum Street, Marion, KY 42064

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 5

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

GARY V JAMES MD

Family Medicine