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IRA B POTTER PSC
NPI 1962401455
Clinic/Center - Medical Specialty in Lackey, KY

Active since July 18, 2005
77 MILLARD ALLEN DR., LACKEY, KY 41643(606) 358-2381(606) 358-2404 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ira B Potter Psc NPPES

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

IRA B POTTER PSC (NPI 1962401455) is a healthcare organization registered as a medical specialty in Lackey, Kentucky and active in the NPI registry since July 2005. The organization lists Ira Blaine Potter, President, as its authorized official.

NPPES Registry Identity

NPI1962401455
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameIRA B POTTER PSC
Location Address77 MILLARD ALLEN DR.Lackey, KY 41643-0190
Mailing AddressPo Box 190, 77 Millard Allen DriveLackey, KY 41643-0190 · (606) 358-2381 · Fax (606) 358-2404
Phone(606) 358-2381
Fax(606) 358-2404
Organization SubpartNo
Authorized OfficialIra Blaine PotterPresident · (606) 358-2381
Enumeration DateJuly 18, 2005
Last NPPES UpdateMarch 21, 2016
✔ NPI 1962401455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1587 (KY)
77 MILLARD ALLEN DR., Lackey, KY 41643
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Other Identifiers 3

Medicare PIN2763KY
Other000000057539KY · Anthem
Medicaid65901399KY

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

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 Ira B Potter Psc's NPI number?

The NPI number for Ira B Potter Psc is 1962401455. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Ira B Potter Psc located?

Ira B Potter Psc is located at 77 Millard Allen Dr., Lackey, KY 41643. The listed phone number is (606) 358-2381.

What is Ira B Potter Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Ira B Potter Psc was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.