BEAVER CREEK EMERGENCY GROUP LLC
NPI 1689165904
Emergency Medicine in Martin, KY

Active since May 22, 2018
11203 MAIN ST, MARTIN, KY 41649(606) 285-6490 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2021, May 22, 2018 (2 updates tracked since 2018).

About Beaver Creek Emergency Group Llc NPPES

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

BEAVER CREEK EMERGENCY GROUP LLC (NPI 1689165904) is a healthcare organization registered as an emergency medicine in Martin, Kentucky and active in the NPI registry since May 2018. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1689165904
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBEAVER CREEK EMERGENCY GROUP LLC
Location Address11203 MAIN STMartin, KY 41649-7999
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateMay 22, 2018
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1689165904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

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.

Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
11203 MAIN ST, Martin, KY 41649

Other Identifiers 1

Medicaid7100576290KY

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

Other Providers at the Same Location NPPES 11

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

Occupational Therapist
11203 MAIN ST
MARTIN, KY 41649
Clinical Medical Laboratory
11203 MAIN ST
MARTIN, KY 41649
General Acute Care Hospital (Critical Access)
11203 MAIN ST
MARTIN, KY 41649
Nurse Anesthetist, Certified Registered
11203 MAIN ST
MARTIN, KY 41649
Emergency Medicine
11203 MAIN ST
MARTIN, KY 41649
Medicare Defined Swing Bed Unit
11203 MAIN ST
MARTIN, KY 41649
General Acute Care Hospital (Critical Access)
11203 MAIN ST
MARTIN, KY 41649
Clinic/Center (Rural Health)
11203 MAIN ST
MARTIN, KY 41649

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 Beaver Creek Emergency Group LLC's NPI number?

The NPI number for Beaver Creek Emergency Group LLC is 1689165904. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Beaver Creek Emergency Group LLC located?

Beaver Creek Emergency Group LLC is located at 11203 Main St, Martin, KY 41649. The listed phone number is (606) 285-6490.

What is Beaver Creek Emergency Group LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Beaver Creek Emergency Group LLC was last updated on March 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.