PINE MOUNTAIN EMERGENCY GROUP LIMITED LIABILITY COMPANY
NPI 1568010064
Emergency Medicine in Harlan, KY

Active since August 28, 2019
81 BALL PARK RD, HARLAN, KY 40831(606) 573-8100 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 17, 2021, Aug 28, 2019 (2 updates tracked since 2019).

  • Organization
  • Emergency Medicine

About PINE MOUNTAIN EMERGENCY GROUP LIMITED LIABILITY COMPANY

This page provides the complete NPI Profile along with additional information for Pine Mountain Emergency Group Limited Liability Company, a provider established in Harlan, Kentucky operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1568010064 assigned on August 2019. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pine Mountain Emergency Group Limited Liability Company operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lisha C Falk (Vp Of Contracting)

NPI
1568010064 Verify this NPI
Provider Name
PINE MOUNTAIN EMERGENCY GROUP LIMITED LIABILITY COMPANY
Entity Type
Organization
Location Address
81 BALL PARK RD HARLAN, KY 40831
Location Phone
(606) 573-8100
Mailing Address
200 CORPORATE BLVD LAFAYETTE, LA 70508
Mailing Phone
(800) 893-9698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2019
Last Update Date
03-23-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISHA C FALK

Authorized Official Title
VP OF CONTRACTING
Authorized Official Phone
(337) 609-1221

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
K317050MEDICAID (05)KY 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Clinical Pathology/Laboratory Medicine)
81 BALL PARK RD
HARLAN, KY 40831
Emergency Medicine (Emergency Medical Services)
81 BALL PARK RD
HARLAN, KY 40831
Radiology (Diagnostic Radiology)
81 BALL PARK RD
HARLAN, KY 40831
Radiology (Diagnostic Radiology)
81 BALL PARK RD
HARLAN, KY 40831
Dietitian, Registered
81 BALL PARK RD
HARLAN, KY 40831
Nurse Anesthetist, Certified Registered
81 BALL PARK RD
HARLAN, KY 40831
Speech-Language Pathologist
81 BALL PARK RD
HARLAN, KY 40831
Speech-Language Pathologist
81 BALL PARK RD
HARLAN, KY 40831
Occupational Therapist
81 BALL PARK RD
HARLAN, KY 40831
Physical Therapy Assistant
81 BALL PARK RD
HARLAN, KY 40831
Physical Therapy Assistant
81 BALL PARK RD
HARLAN, KY 40831
Physical Therapy Assistant
81 BALL PARK RD
HARLAN, KY 40831
Speech-Language Pathologist
81 BALL PARK RD
HARLAN, KY 40831
Nurse Anesthetist, Certified Registered
81 BALL PARK RD
HARLAN, KY 40831
Emergency Medicine (Emergency Medical Services)
81 BALL PARK RD
HARLAN, KY 40831
Nurse Anesthetist, Certified Registered
81 BALL PARK RD
HARLAN, KY 40831
Anesthesiology
81 BALL PARK RD
HARLAN, KY 40831
Occupational Therapist
81 BALL PARK RD
HARLAN, KY 40831
Physical Therapist
81 BALL PARK RD
HARLAN, KY 40831
Nurse Practitioner (Family)
81 BALL PARK RD
HARLAN, KY 40831

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568010064, enumerated as an "organization" on August 28, 2019.

The provider is located at 81 BALL PARK RD HARLAN, KY 40831 and the phone number is (606) 573-8100.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.