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EASTERN MOUNTAIN FAMILY & SUPPORT SERVICES INC.
NPI 1689416158
Clinic/Center - Rehabilitation, Substance Use Disorder in Hazard, KY

Active since June 06, 2024

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About EASTERN MOUNTAIN FAMILY & SUPPORT SERVICES INC.

This page provides the complete NPI Profile along with additional information for Eastern Mountain Family & Support Services Inc., a provider established in Hazard, Kentucky operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1689416158 assigned on June 2024. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Shawn A Gilley (Executive Director)

NPI
1689416158 Verify this NPI
Provider Name
EASTERN MOUNTAIN FAMILY & SUPPORT SERVICES INC.
Entity Type
Organization
Location Address
481 MAIN ST HAZARD, KY 41701
Location Phone
(606) 233-6336
Mailing Address
PO BOX 82 JEREMIAH, KY 41826
Mailing Phone
(606) 233-6336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2024
Last Update Date
06-06-2024
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Location Map

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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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)
1251B00000XAgencies

Case Management

 
2251S00000XAgencies

Community/Behavioral Health

 
3261QR0800XAmbulatory Health Care Facilities

Clinic/Center
Recovery Care

 

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

SHAWN A GILLEY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(606) 821-6252

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Frequently Asked Questions

What is EASTERN MOUNTAIN FAMILY & SUPPORT SERVICES INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1689416158, enumerated as an "organization" on June 06, 2024.

Where is the provider located?

The provider is located at 481 MAIN ST HAZARD, KY 41701 and the phone number is (606) 233-6336.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.