| Martin County Community Health Center | |
|
6500 Highway 645 Ste 110 Inez KY 41224-2044 | |
| (606) 298-3412 | |
| (606) 298-3416 |
| Full Name | Martin County Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6500 Highway 645, Inez, Kentucky |
| Authorized Official Name and Position | Ancil Lewis (CEO) |
| Authorized Official Contact | 6068868546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin County Community Health Center Po Box 2044 Inez KY 41224-2044 Ph: (606) 298-3412 | Martin County Community Health Center 6500 Highway 645 Ste 110 Inez KY 41224-2044 Ph: (606) 298-3412 |
| NPI Number | 1104055805 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 12/15/2010 |
| Medicare PECOS PAC ID | 1951211218 |
|---|---|
| Medicare Enrollment ID | O20040510000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104055805 | NPI | - | NPPES |
| 7100115430 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700203 (Kentucky) | Primary |
| Provider Name | Jeffery S Potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851313266 PECOS PAC ID: 1355247057 Enrollment ID: I20031212000009 |
| Provider Name | Mildred P Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679567945 PECOS PAC ID: 8628977709 Enrollment ID: I20040107000850 |
| Provider Name | Jack Kendrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255489415 PECOS PAC ID: 1355338005 Enrollment ID: I20040427000023 |
| Provider Name | James Kendall Cecil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053354571 PECOS PAC ID: 0547210635 Enrollment ID: I20050128000576 |
| Provider Name | Larry Leslie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043308208 PECOS PAC ID: 9830142900 Enrollment ID: I20050301000466 |
| Provider Name | Bradwell S Chaney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417912874 PECOS PAC ID: 9537106414 Enrollment ID: I20050413000211 |
| Provider Name | Sheryl L Gstalder-chaney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003878463 PECOS PAC ID: 0941247704 Enrollment ID: I20050413000354 |
| Provider Name | Joanna L Santiesteban |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700870078 PECOS PAC ID: 9638110315 Enrollment ID: I20050513000029 |
| Provider Name | Jason Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992862148 PECOS PAC ID: 8729018114 Enrollment ID: I20050817000046 |
| Provider Name | Gail E Faria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851404065 PECOS PAC ID: 5799782868 Enrollment ID: I20061102000300 |
| Provider Name | Sammie S Gibson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053330449 PECOS PAC ID: 3577561471 Enrollment ID: I20061130000366 |
| Provider Name | Wendy S Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447301171 PECOS PAC ID: 6507868908 Enrollment ID: I20070214000260 |
| Provider Name | Tara J Newsome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306919311 PECOS PAC ID: 0446357883 Enrollment ID: I20070521000319 |
| Provider Name | Anita Blankenship |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437169679 PECOS PAC ID: 9830290238 Enrollment ID: I20070730000611 |
| Provider Name | David W Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619195864 PECOS PAC ID: 5496848327 Enrollment ID: I20070907000495 |
| Provider Name | Krissy L Marcum |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922282078 PECOS PAC ID: 7214011915 Enrollment ID: I20080219000637 |
| Provider Name | Timothy S Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922181346 PECOS PAC ID: 4486733615 Enrollment ID: I20080429000890 |
| Provider Name | Cliff Caudill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841300712 PECOS PAC ID: 5193769776 Enrollment ID: I20080502000186 |
| Provider Name | Tiffany M Mills |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285848341 PECOS PAC ID: 4082772108 Enrollment ID: I20081018000088 |
| Provider Name | Jeremy C Parsons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811180409 PECOS PAC ID: 7012099138 Enrollment ID: I20081104000498 |
| Provider Name | Vijaya R Ammisetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164662508 PECOS PAC ID: 5799839833 Enrollment ID: I20090824000656 |
| Provider Name | Lesley Ann Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720273105 PECOS PAC ID: 2567518350 Enrollment ID: I20090921000050 |
| Provider Name | William T Connelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780854026 PECOS PAC ID: 6002889433 Enrollment ID: I20100106000717 |
| Provider Name | Leslieann D Dotson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790977395 PECOS PAC ID: 9739213745 Enrollment ID: I20100812000690 |
| Provider Name | Donnie C Akers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063426682 PECOS PAC ID: 3577600568 Enrollment ID: I20110114000784 |
| Provider Name | Paul Wilson Craig Ii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558328179 PECOS PAC ID: 6709974298 Enrollment ID: I20111121000466 |
| Provider Name | Shannon S Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790063774 PECOS PAC ID: 8820255797 Enrollment ID: I20120203000375 |
| Provider Name | Joyce Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982977484 PECOS PAC ID: 4183885130 Enrollment ID: I20120418000416 |
| Provider Name | Jessica L Branham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144537812 PECOS PAC ID: 3577714633 Enrollment ID: I20121119000387 |
| Provider Name | Gregory Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821023839 PECOS PAC ID: 5395847578 Enrollment ID: I20130123000474 |
| Provider Name | Kelli J Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568780757 PECOS PAC ID: 8426290867 Enrollment ID: I20130814000156 |
| Provider Name | Bethani K Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326367715 PECOS PAC ID: 2769626209 Enrollment ID: I20130923000693 |
| Provider Name | Dana Marie Scott Finley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801058714 PECOS PAC ID: 9133354038 Enrollment ID: I20131031000467 |
| Provider Name | Amanda R Lowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225357619 PECOS PAC ID: 7416188560 Enrollment ID: I20140402002274 |
| Provider Name | Tasha Russell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780977389 PECOS PAC ID: 8628298536 Enrollment ID: I20140926002066 |
| Provider Name | Ashley D Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811390776 PECOS PAC ID: 3072735851 Enrollment ID: I20141111001223 |
| Provider Name | Mohammad Mannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588741904 PECOS PAC ID: 7618944745 Enrollment ID: I20141201002098 |
| Provider Name | Sheena Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588053565 PECOS PAC ID: 5597085589 Enrollment ID: I20150514001078 |
| Provider Name | Angelia Begley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811208846 PECOS PAC ID: 4385965524 Enrollment ID: I20150601000292 |
| Provider Name | Cheryl Combs-walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891104600 PECOS PAC ID: 6800102278 Enrollment ID: I20150831001339 |
| Provider Name | Cara G Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982071213 PECOS PAC ID: 3173832755 Enrollment ID: I20151021002806 |
| Provider Name | Eilene Eugenio Kinzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013242106 PECOS PAC ID: 6103082656 Enrollment ID: I20151211002311 |
| Provider Name | Tonya A Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497102859 PECOS PAC ID: 8224328745 Enrollment ID: I20160610001819 |
| Provider Name | Loretta K Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336594928 PECOS PAC ID: 2062703895 Enrollment ID: I20160624000845 |
| Provider Name | Teresa O'brien-conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376542746 PECOS PAC ID: 6608169164 Enrollment ID: I20160721001968 |
| Provider Name | Josephine Owoeye Ibironke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831145770 PECOS PAC ID: 5193624831 Enrollment ID: I20161201001849 |
| Provider Name | Roya Attar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558788026 PECOS PAC ID: 8820212186 Enrollment ID: I20161208002198 |
| Provider Name | Heather Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073064630 PECOS PAC ID: 5799065421 Enrollment ID: I20161214002251 |
| Provider Name | Adam L Hickenbotham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063462778 PECOS PAC ID: 3577576115 Enrollment ID: I20170105002431 |
| Provider Name | James Rogala |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053454835 PECOS PAC ID: 4183604515 Enrollment ID: I20170120001191 |
| Provider Name | Jennifer L Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598289662 PECOS PAC ID: 0446522437 Enrollment ID: I20170825002632 |
| Provider Name | Rachel L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336599331 PECOS PAC ID: 1658662598 Enrollment ID: I20170919003724 |
| Provider Name | John L Bradley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386624021 PECOS PAC ID: 5991987026 Enrollment ID: I20171020002890 |
| Provider Name | Shanna J Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790268530 PECOS PAC ID: 9537410154 Enrollment ID: I20180920002802 |
| Provider Name | Tiffany A Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437638616 PECOS PAC ID: 0840542007 Enrollment ID: I20181016003235 |
| Provider Name | Angela Suzanne Fitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407337579 PECOS PAC ID: 3577800531 Enrollment ID: I20190129001945 |
| Provider Name | Megan Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720589559 PECOS PAC ID: 5395084743 Enrollment ID: I20190228002223 |
| Provider Name | Xiaojing Yu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497143358 PECOS PAC ID: 3779822069 Enrollment ID: I20190304002884 |
| Provider Name | Dena Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346713260 PECOS PAC ID: 5193065001 Enrollment ID: I20190312002513 |
| Provider Name | Benjamin Christopher Konig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497108070 PECOS PAC ID: 9830486885 Enrollment ID: I20190417000187 |
| Provider Name | Christina Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649690538 PECOS PAC ID: 2567791163 Enrollment ID: I20190906002149 |
| Provider Name | Samantha E. Myers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023504974 PECOS PAC ID: 6103173539 Enrollment ID: I20191009001457 |
| Provider Name | Robert Ben Burgett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598865677 PECOS PAC ID: 0446149389 Enrollment ID: I20200716004058 |
| Provider Name | Sarah Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164056875 PECOS PAC ID: 9739505785 Enrollment ID: I20200820002339 |
| Provider Name | Shana Slone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063839876 PECOS PAC ID: 7315365525 Enrollment ID: I20200918001759 |
| Provider Name | April L Estep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144622416 PECOS PAC ID: 7810307071 Enrollment ID: I20201029002604 |
| Provider Name | Jessica S Walter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114404456 PECOS PAC ID: 2163770009 Enrollment ID: I20201104000430 |
| Provider Name | Alexander Hynes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235733700 PECOS PAC ID: 7810303898 Enrollment ID: I20210317002135 |
| Provider Name | Matthew Stuart Little |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891365342 PECOS PAC ID: 1456753763 Enrollment ID: I20210708003560 |
| Provider Name | Mohammed S Naja |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073183463 PECOS PAC ID: 1153728795 Enrollment ID: I20210923001772 |
| Provider Name | Lisa Ann Salyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811568082 PECOS PAC ID: 6709274160 Enrollment ID: I20211104000733 |
| Provider Name | Kodi Layne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770004988 PECOS PAC ID: 0547503690 Enrollment ID: I20220114001768 |
| Provider Name | Leigh Anna M Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811658859 PECOS PAC ID: 9234522061 Enrollment ID: I20220131001366 |
| Provider Name | Brittany Varney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952033060 PECOS PAC ID: 9537545652 Enrollment ID: I20220927002713 |
| Provider Name | Christina Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578298303 PECOS PAC ID: 5395194559 Enrollment ID: I20231213001448 |
| Provider Name | Michele Watkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710304589 PECOS PAC ID: 4789037227 Enrollment ID: I20240131002466 |
| Provider Name | Nathaniel Dials |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568720936 PECOS PAC ID: 5597108464 Enrollment ID: I20240207002835 |
Eden Elementary School Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 179 Eden Ln, Inez, KY 41224 Phone: 606-263-6500 | |
Ovp Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3165 Blacklog Rd, Inez, KY 41224 Phone: 606-534-3435 Fax: 606-534-3436 | |
Raymond D. Wells Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Rockcastle Rd, Inez, KY 41224 Phone: 606-298-3412 Fax: 606-298-7002 | |
Mountain Comprehensive Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 428 E Main St, Inez, KY 41224 Phone: 606-788-1345 | |
Martin County Rural Health Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 64 Kirk Plz, Inez, KY 41224 Phone: 606-298-2520 Fax: 606-298-2522 | |
Martin County Community Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 Middle Fork Rd, Inez, KY 41224 Phone: 606-298-4000 |