RADCLIFF URGENT CARE CLINIC LLC
NPI 1508595034
Clinic/Center - Urgent Care in Radcliff, KY

Active since June 09, 2022CLIA 18D2263262 · Waiver
650 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160(270) 352-4601(270) 352-4600 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Radcliff Urgent Care Clinic Llc NPPES

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

RADCLIFF URGENT CARE CLINIC LLC (NPI 1508595034) is a healthcare organization registered as an urgent care in Radcliff, Kentucky and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Donald Emerson Dick, Primary Owner, as its authorized official.

NPPES Registry Identity

NPI1508595034
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameRADCLIFF URGENT CARE CLINIC LLC
Location Address650 W LINCOLN TRAIL BLVDRadcliff, KY 40160-2681
Mailing Address650 W Lincoln Trail BlvdRadcliff, KY 40160-2681 · (270) 352-4601 · Fax (270) 352-4600
Fax(270) 352-4600
Organization SubpartNo
Authorized OfficialDonald Emerson DickPrimary Owner · (270) 352-4601
Enumeration DateJune 9, 2022
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1508595034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
650 W LINCOLN TRAIL BLVD, Radcliff, KY 40160

Group Practice 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radcliff Urgent Care Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Radcliff Urgent Care Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1194319004
650 W LINCOLN TRAIL BLVD STE B
Radcliff, KY 40160
(270) 532-4901
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801680301
2746 VIRGINIA AVE
Louisville, KY 40211
(502) 815-7040
✔ PECOS✔ Accepts Medicare28 mi
Internal Medicine
NPI 1467426825
1700 OLD LEBANON RD
Campbellsville, KY 42718
(270) 465-3561
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1730954181
2211 MAYFAIR DR STE 101
Owensboro, KY 42301
(270) 688-1352
✔ PECOS✔ Accepts Medicare66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 18D2263262

Radcliff Urgent Care Clinic, LLC · Radcliff, KY
Active · expires Jun 24, 2028
CLIA Number18D2263262
Laboratory TypeUrgent Care Clinic
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorMs. Leigh A. Stutzenberger
Laboratory Phone(270) 352-4601
Laboratory LocationRadcliff Urgent Care Clinic, LLC650 West Lincoln Trail Blvd, Radcliff, KY 40160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Radcliff Urgent Care Clinic LLC's NPI number?

The NPI number for Radcliff Urgent Care Clinic LLC is 1508595034. It was assigned to this organization in the NPPES registry on June 9, 2022.

Where is Radcliff Urgent Care Clinic LLC located?

Radcliff Urgent Care Clinic LLC is located at 650 W Lincoln Trail Blvd, Radcliff, KY 40160. The listed phone number is (270) 352-4601.

What is Radcliff Urgent Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Radcliff Urgent Care Clinic LLC enrolled in Medicare?

Yes. Radcliff Urgent Care Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radcliff Urgent Care Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Radcliff Urgent Care Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Radcliff Urgent Care Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2263262) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Radcliff Urgent Care Clinic LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Radcliff Urgent Care Clinic 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 Radcliff Urgent Care Clinic LLC was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.