FOOTHILLS- COMMUNITY BASED INTERVENTIONS – NPI #1306250782
Clinic/Center

FOOTHILLS- COMMUNITY BASED INTERVENTIONS is an AHC clinic located in MONTICELLO, KY. NPPES has assigned the NPI number 1306250782 to FOOTHILLS- COMMUNITY BASED INTERVENTIONS on June 13, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FOOTHILLS- COMMUNITY BASED INTERVENTIONS” is a dba name, the actual legal business name for this organization is FOOTHILLS ACADEMY, INC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 7 years ago on Oct 22, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOOTHILLS- COMMUNITY BASED INTERVENTIONS below.

NPI Profile for
FOOTHILLS ACADEMY, INC

NPI Number
1306250782
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOOTHILLS ACADEMY, INC
Doing Business As (dba): FOOTHILLS- COMMUNITY BASED INTERVENTIONS
Other name(s)
All associated names:
Doing Business As (dba)
Community Based Interventions
Doing Business As (dba)
Foothills- Community Based Interventions
Primary location
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633-9005
Phone: (606) 343-0216 Fax:
1 Other location(s):
104 South Washington Street
Albany, KY 42602-0817
Phone: (606) 387-0567
Fax: (606) 387-8783
Mailing address
Same as primary location
Organization Subpart
Yes - FOOTHILLS- COMMUNITY BASED INTERVENTIONS is subpart of another organization.
Authorized Official
SAMANTHA SIMMONS
DIRECTOR
Phone: (606) 343-0216
Updated
Identifiers

Identifiers for FOOTHILLS- COMMUNITY BASED INTERVENTIONS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY7100317630
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.