| Powell Family Health | |
|
68 E Elkins St Stanton KY 40380-2311 | |
| (606) 663-8000 | |
| (606) 663-8001 |
| Full Name | Powell Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 68 E Elkins St, Stanton, Kentucky |
| Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) |
| Authorized Official Contact | 5025967220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Family Health 330 Seven Springs Way Brentwood TN 37027-4536 Ph: (615) 920-7000 | Powell Family Health 68 E Elkins St Stanton KY 40380-2311 Ph: (606) 663-8000 |
| NPI Number | 1770809808 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Medicare PECOS PAC ID | 4688614290 |
|---|---|
| Medicare Enrollment ID | O20100811000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770809808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
| 363L00000X | Nurse Practitioner | (NU) | Secondary |
| Provider Name | Brenda Hudson Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437114626 PECOS PAC ID: 3072404789 Enrollment ID: I20040323000347 |
| Provider Name | Enio Elkov Kuvliev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780662692 PECOS PAC ID: 1254321847 Enrollment ID: I20040515000094 |
| Provider Name | Nicholas S Kouns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528166261 PECOS PAC ID: 4486613643 Enrollment ID: I20041005000417 |
| Provider Name | Troy D Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447364898 PECOS PAC ID: 8628024270 Enrollment ID: I20050325000660 |
| Provider Name | Farrah Conn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801926845 PECOS PAC ID: 8921199613 Enrollment ID: I20070809000603 |
| Provider Name | Sarah D Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346433968 PECOS PAC ID: 3678657913 Enrollment ID: I20080226000540 |
| Provider Name | Amy Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891946125 PECOS PAC ID: 4587663539 Enrollment ID: I20081212000402 |
| Provider Name | Freddie L Terrell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548268279 PECOS PAC ID: 3072679737 Enrollment ID: I20090304000318 |
| Provider Name | David Ashley Mcmenamin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073568028 PECOS PAC ID: 0941469845 Enrollment ID: I20120313000528 |
| Provider Name | Kimberley K Privett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720337967 PECOS PAC ID: 5991957607 Enrollment ID: I20121204000045 |
| Provider Name | Stewart C Vickrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982007431 PECOS PAC ID: 0749502771 Enrollment ID: I20141202002486 |
| Provider Name | Courtney a Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740738616 PECOS PAC ID: 4385927896 Enrollment ID: I20170207003002 |
| Provider Name | Rebecca J Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063948602 PECOS PAC ID: 4183993595 Enrollment ID: I20170628001228 |
| Provider Name | Kelly D Goins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336659309 PECOS PAC ID: 7214203868 Enrollment ID: I20171025003515 |
| Provider Name | Lauren Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942777313 PECOS PAC ID: 0547504961 Enrollment ID: I20181211002942 |
Red River Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321c E College Ave, Stanton, KY 40380 Phone: 606-663-9797 Fax: 606-663-9470 |
Raven Rock Health &wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Main St, Stanton, KY 40380 Phone: 859-497-9508 |
Powell County Academy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 Rose Way, Stanton, KY 40380 Phone: 859-404-7686 Fax: 859-274-4312 |
Powell County Stanton Elem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Breckenridge St, Stanton, KY 40380 Phone: 859-404-7686 Fax: 859-274-4312 |
Casa San Pio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E College Ave, Stanton, KY 40380 Phone: 606-693-0199 Fax: 606-666-9480 |
Powell County High Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 W College Ave, Stanton, KY 40380 Phone: 859-404-7686 Fax: 859-274-4312 |