PCH MEDICAL CLINIC – NPI #1801069315
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

PCH MEDICAL CLINIC is a provider located in PINEVILLE, KY. NPPES has assigned the NPI number 1801069315 to PCH MEDICAL CLINIC on April 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PCH MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is PINEVILLE COMMUNITY HOSPITAL ASSN INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 9 years ago on Sep 21, 2017. 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 PCH MEDICAL CLINIC below.

NPI Profile for
PINEVILLE COMMUNITY HOSPITAL ASSN INC

NPI Number
1801069315
Enumeration Date

(more than 18 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
PINEVILLE COMMUNITY HOSPITAL ASSN INC
Doing Business As (dba): PCH MEDICAL CLINIC
Primary location
850 RIVERVIEW AVE
PINEVILLE, KY 40977-1430
Phone: (606) 337-3051 Fax: (606) 337-2871
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW BROCK
CEO
Phone: (606) 337-3051
Updated
Identifiers

Identifiers for PCH MEDICAL CLINIC

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
OTHERMEDICARE IDKY180021
MEDICAIDKY01011352
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
207R00000X
- Internal Medicine (Primary)
KY 100020
363LW0102X
- Nurse Practitioner / Women's Health
363LF0000X
- Nurse Practitioner / Family

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.