STANFORD WELLCARE CLINIC PLLC
NPI 1861071219
Clinic/Center - Rural Health in Stanford, KY

Q: What is Stanford Wellcare Clinic PLLC's NPI number?

The NPI number for Stanford Wellcare Clinic PLLC is 1861071219. It was assigned to this organization in the NPPES registry on April 5, 2021.

Q: What is Stanford Wellcare Clinic PLLC's specialty?

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

Active since April 05, 2021CLIA 18D2222976 · Waiver

132 FRONTIER BLVD STE 101, STANFORD, KY 40484(606) 727-5757(606) 727-5777 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2021, Jun 29, 2021, May 21, 2021 and 3 more (6 updates tracked since 2021).

On this page

About Stanford Wellcare Clinic Pllc NPPES

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

STANFORD WELLCARE CLINIC PLLC (NPI 1861071219) is a healthcare organization registered as a rural health in Stanford, Kentucky and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Imad A Haddad, Owner, as its authorized official.

NPPES Registry Identity

NPI1861071219

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSTANFORD WELLCARE CLINIC PLLC

Location Address132 FRONTIER BLVD STE 101Stanford, KY 40484-6516

Mailing Address132 Frontier Blvd Ste 101Stanford, KY 40484-6516 · (606) 727-5757 · Fax (606) 727-5777

Phone(606) 727-5757

Fax(606) 727-5777

Organization SubpartNo

Authorized OfficialImad A HaddadOwner · (859) 481-7113

Enumeration DateApril 5, 2021

Last NPPES UpdateAugust 3, 20216 updates tracked since enumeration

NPPES CertifiedAugust 3, 2021

✔ NPI 1861071219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

132 FRONTIER BLVD STE 101, Stanford, KY 40484

Open in Google Maps ↗

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 MULTIPLE 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

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 18D2222976

Stanford Wellcare Clinic, PLLC · Stanford, KY

Active · expires May 2, 2027

CLIA Number18D2222976

Laboratory TypePhysician Office

Certificate Effective DateMay 3, 2025

Certificate Expiration DateMay 2, 2027

Laboratory DirectorDr. Imad A. Haddad

Laboratory Phone(606) 727-5757

Laboratory LocationStanford Wellcare Clinic, PLLC132 Frontier Blvd Ste 101, Stanford, KY 40484

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. REBECCA G RANKIN P.A.-C

Physician Assistant

132 FRONTIER BLVD STE 101
STANFORD, KY 40484

Lincoln County (606) 727-5757

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 Stanford Wellcare Clinic PLLC's NPI number?

The NPI number for Stanford Wellcare Clinic PLLC is 1861071219. It was assigned to this organization in the NPPES registry on April 5, 2021.

Where is Stanford Wellcare Clinic PLLC located?

Stanford Wellcare Clinic PLLC is located at 132 Frontier Blvd Ste 101, Stanford, KY 40484. The listed phone number is (606) 727-5757.

What is Stanford Wellcare Clinic PLLC's specialty?

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

Does Stanford Wellcare Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2222976) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stanford Wellcare Clinic PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Stanford Wellcare Clinic PLLC 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 Stanford Wellcare Clinic PLLC was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.