KENTUCKY PRIMARY MEDICAL SERVICES LLC
NPI 1972867224
Clinic/Center - Primary Care in Hazard, KY

NPI Status: Active since July 02, 2012

Contact Information

311 ROY CAMPBELL DR
HAZARD, KY
ZIP 41701
Phone: (606) 487-0776
Fax: (606) 487-0777

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 18D1002441
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-28-2026

About KENTUCKY PRIMARY MEDICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Kentucky Primary Medical Services Llc, a primary care provider established in Hazard, Kentucky operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1972867224 assigned on July 2012. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Kentucky Primary Medical Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Phillip Randy Mullins (Ceo)

NPI
1972867224
Provider Name
KENTUCKY PRIMARY MEDICAL SERVICES LLC
Entity Type
Organization
Location Address
311 ROY CAMPBELL DR HAZARD, KY 41701
Location Phone
(606) 487-0776
Location Fax
(606) 487-0777
Mailing Address
PO BOX 1797 HAZARD, KY 41702
Mailing Phone
(606) 487-0776
Mailing Fax
(606) 487-0777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2012
Last Update Date
02-10-2014
Code Navigator

A primary care provider (PCP) like Kentucky Primary Medical Services Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Primary Care

Taxonomy Code
261QP2300X
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)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. PHILLIP RANDY MULLINS

Authorized Official Title
CEO
Authorized Official Phone
(606) 487-0776

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D1002441
Facility Type
Physician Office
Certificate Effective Date
April 29, 2024
Certificate Expiration Date
April 28, 2026
Laboratory Director
DR. KRYDER VAN BUSKIRK
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Kentucky Primary Medical Services Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972867224, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 6 + 6 + 1 + 4 + 2 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1972867224.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
311 ROY CAMPBELL DR
HAZARD, KY 41701
Nurse Practitioner (Family)
311 ROY CAMPBELL DR, SUITE 100
HAZARD, KY 41701
Nurse Practitioner
311 ROY CAMPBELL DR
HAZARD, KY 41701
Internal Medicine
311 ROY CAMPBELL DR
HAZARD, KY 41701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972867224, enumerated as an "organization" on July 02, 2012.

The provider is located at 311 ROY CAMPBELL DR HAZARD, KY 41701 and the phone number is (606) 487-0776.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.