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MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC
NPI 1689919078
Clinic/Center - Rural Health in Manchester, KY

Active since December 11, 2012CLIA Certified · 2 labs
108 MANCHESTER SQ SHOPPING CENTER, MANCHESTER, KY 40962(606) 596-0701(606) 596-0703 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountain Family Practice Clinic Of Manchester Inc NPPES

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

MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC (NPI 1689919078) is a healthcare organization registered as a rural health in Manchester, Kentucky and active in the NPI registry since December 2012. The organization holds 2 active CLIA laboratory certificates and lists Kim B Cox, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1689919078
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC
Location Address108 MANCHESTER SQ SHOPPING CENTERManchester, KY 40962-7289
Mailing AddressPo Box 267Richmond, KY 40476-0267 · (606) 596-0701 · Fax (606) 596-0703
Phone(606) 596-0701
Fax(606) 596-0703
Organization SubpartNo
Authorized OfficialKim B CoxOwner/operator · (859) 358-4222
Enumeration DateDecember 11, 2012
Last NPPES UpdateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
✔ NPI 1689919078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
108 MANCHESTER SQ SHOPPING CENTER, Manchester, KY 40962
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Other Identifiers 2

Medicaid7100299490KY
Medicaid7100257320KY

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 18D2058342

Mountain Family Practice Clinic Of Manchester, Inc · Manchester, KY
Active · expires May 5, 2027
CLIA Number18D2058342
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorMs. Kim B. Cox
Laboratory Phone(606) 596-0701
Laboratory LocationMountain Family Practice Clinic Of Manchester, Inc108 Manchester Shopping Center, Manchester, KY 40962
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 18D2279012

Mountain Family Practice Clinic Of Manchester · Manchester, KY
Active · expires Mar 18, 2028
CLIA Number18D2279012
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorDr. Joel Stephenson
Laboratory Phone(606) 658-6333
Laboratory LocationMountain Family Practice Clinic Of Manchester108 Manchester Shopping Center, Manchester, KY 40962
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Mountain Family Practice Clinic Of Manchester Inc's NPI number?

The NPI number for Mountain Family Practice Clinic Of Manchester Inc is 1689919078. It was assigned to this organization in the NPPES registry on December 11, 2012.

Where is Mountain Family Practice Clinic Of Manchester Inc located?

Mountain Family Practice Clinic Of Manchester Inc is located at 108 Manchester Sq Shopping Center, Manchester, KY 40962. The listed phone number is (606) 596-0701.

What is Mountain Family Practice Clinic Of Manchester Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mountain Family Practice Clinic Of Manchester Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mountain Family Practice Clinic Of Manchester Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Mountain Family Practice Clinic Of Manchester Inc 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 Mountain Family Practice Clinic Of Manchester Inc was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.