| Kentucky River Foothills Development Council, Inc. | |
|
108 12th St Clay City KY 40312-8979 | |
| (606) 663-9011 | |
| (606) 663-9012 |
| Full Name | Kentucky River Foothills Development Council, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 12th St, Clay City, Kentucky |
| Authorized Official Name and Position | David Estepp (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6066242046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky River Foothills Development Council, Inc. 6021 Atwood Dr Richmond KY 40475-8320 Ph: (859) 624-2046 | Kentucky River Foothills Development Council, Inc. 108 12th St Clay City KY 40312-8979 Ph: (606) 663-9011 |
| NPI Number | 1366713000 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 06/02/2025 |
| Certification Date | 06/02/2025 |
| Medicare PECOS PAC ID | 6507861945 |
|---|---|
| Medicare Enrollment ID | O20110927000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366713000 | NPI | - | NPPES |
| 800490 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700260 (Kentucky) | Primary |
| Provider Name | Lisa Finn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740391408 PECOS PAC ID: 1850444803 Enrollment ID: I20090808000037 |
| Provider Name | Gari Michelle Kiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437419827 PECOS PAC ID: 3870746159 Enrollment ID: I20130117000395 |
| Provider Name | Kimberly Renee Turpin-rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659883882 PECOS PAC ID: 1254694110 Enrollment ID: I20180406001855 |
| Provider Name | Sean Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710347752 PECOS PAC ID: 5890095251 Enrollment ID: I20200819002966 |
| Provider Name | Megan Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578188637 PECOS PAC ID: 5395165476 Enrollment ID: I20201009002471 |
| Provider Name | Chelsea Ruthanne Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760070205 PECOS PAC ID: 8729493341 Enrollment ID: I20210212000439 |
Kentucky River Foothills Development Council, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 12th St, Clay City, KY 40312 Phone: 859-972-7038 | |
Red River Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 Spencer Ln, Clay City, KY 40312 Phone: 606-481-8017 |