| Appalachian Community Care Llc | |
|
255 Church St Ste 101 Pikeville KY 41501-3476 | |
| (606) 432-5660 | |
| Not Available |
| Full Name | Appalachian Community Care Llc |
|---|---|
| Speciality | Counselor |
| Location | 255 Church St Ste 101, Pikeville, Kentucky |
| Authorized Official Name and Position | Lovonne F Richardson (PRESIDENT) |
| Authorized Official Contact | 6062533045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Community Care Llc 7145 E Virginia St Ste 2000 Evansville IN 47715-9147 Ph: (812) 962-7894 | Appalachian Community Care Llc 255 Church St Ste 101 Pikeville KY 41501-3476 Ph: (606) 432-5660 |
| NPI Number | 1558750406 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Medicare PECOS PAC ID | 8628484367 |
|---|---|
| Medicare Enrollment ID | O20210304001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558750406 | NPI | - | NPPES |
| 18D2144199 | Other | KY | CLIA |
| 7100320230 | Medicaid | KY | |
| 7100443540 | Medicaid | KY | |
| 7100315770 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1520 (Kentucky) | Primary |
| Provider Name | Charles G Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942231477 PECOS PAC ID: 6800860321 Enrollment ID: I20040820001112 |
| Provider Name | Ronnie C Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093860116 PECOS PAC ID: 8820050883 Enrollment ID: I20041102000067 |
| Provider Name | John E Pappas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922219294 PECOS PAC ID: 0042341158 Enrollment ID: I20100706000079 |
| Provider Name | Wilma Leslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265579239 PECOS PAC ID: 0941469696 Enrollment ID: I20120315000525 |
| Provider Name | David Farler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497105001 PECOS PAC ID: 9830485713 Enrollment ID: I20160831002435 |
| Provider Name | Christa Louise Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833834 PECOS PAC ID: 1052691847 Enrollment ID: I20161214000170 |
| Provider Name | Adrienne Michelle Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588124556 PECOS PAC ID: 7416298500 Enrollment ID: I20190418001956 |
| Provider Name | Crystal Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427522028 PECOS PAC ID: 2668709569 Enrollment ID: I20190815001920 |
| Provider Name | Lauren Alicia Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336787183 PECOS PAC ID: 7618392002 Enrollment ID: I20200731002717 |
| Provider Name | Lovonne Fleming-richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770843286 PECOS PAC ID: 9436305901 Enrollment ID: I20240104003977 |
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