PIKEVILLE MEDICAL CENTER CLINIC @ WALMART
NPI 1710207865
Clinic/Center in Pikeville, KY

Q: What is Pikeville Medical Center Inc.'s NPI number?

The NPI number for Pikeville Medical Center Inc. is 1710207865. It was assigned to this organization in the NPPES registry on June 10, 2010. The provider is also known as Pikeville Medical Center Clinic @ Walmart.

Q: What is Pikeville Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 10, 2010

254 CASSIDY BLVD, PIKEVILLE, KY 41501(606) 437-0123(606) 218-4788 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Pikeville Medical Center Clinic @ Walmart NPPES

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

PIKEVILLE MEDICAL CENTER CLINIC @ WALMART (NPI 1710207865) is a healthcare organization registered as a clinic/center in Pikeville, Kentucky and active in the NPI registry since June 2010. The organization lists Michelle Hagy, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710207865

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePIKEVILLE MEDICAL CENTER INC.

Location Address254 CASSIDY BLVDPikeville, KY 41501-1426

Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 218-3500

Phone(606) 437-0123

Fax(606) 218-4788

Organization SubpartNo

Authorized OfficialMichelle HagyCfo · (606) 218-3500

Enumeration DateJune 10, 2010

Last NPPES UpdateOctober 19, 2016

✔ NPI 1710207865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedFamily MedicineTaxonomy 207Q00000X · License 1300366 (KY)

Also ListedPhysician AssistantTaxonomy 363A00000X · License 1300366 (KY)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1300366 (KY)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

254 CASSIDY BLVD, Pikeville, KY 41501

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Other Names 1

Other NamePikeville Medical Center Clinic @ Walmart

Other Identifiers 9

Medicaid7100155720KY

Medicare NSC1285621623KY

Medicaid65922361KY

Medicaid7100152490KY

Medicaid7100155700KY

Medicare PINC10805VA

Medicaid7100155680KY

Medicaid7100155970KY

Medicare PIN0136KY

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pikeville Medical Center Clinic @ Walmart is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

579

Medicare enrollment records show 579 clinicians reassign Medicare billing to Pikeville Medical Center Clinic @ Walmart, which bills Medicare for the services they deliver. Of these, 299 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 52

Nurse Practitioner107

Diagnostic Radiology90

Certified Registered Nurse Anesthetist (CRNA)41

Emergency Medicine41

Internal Medicine40

Family Practice22

Hospitalist19

Anesthesiology17

44 other specialties202

Nearest to this location (20)

See all 579

Benita Amick, APRN

Nurse Practitioner

NPI 1548658016