| Catalyst Management Incorporated | |
|
321 Ringgold Rd Somerset KY 42503-3900 | |
| (606) 679-9009 | |
| (606) 678-9883 |
| Full Name | Catalyst Management Incorporated |
|---|---|
| Speciality | Counselor |
| Location | 321 Ringgold Rd, Somerset, Kentucky |
| Authorized Official Name and Position | Janice Clark (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6066799009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Management Incorporated 325 Clifty St Somerset KY 42501-1666 Ph: (606) 679-9009 | Catalyst Management Incorporated 321 Ringgold Rd Somerset KY 42503-3900 Ph: (606) 679-9009 |
| NPI Number | 1114187234 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Medicare PECOS PAC ID | 2264741214 |
|---|---|
| Medicare Enrollment ID | O20151014002266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114187234 | NPI | - | NPPES |
| Provider Name | Carolyn Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255516969 PECOS PAC ID: 8426131533 Enrollment ID: I20080213000339 |
| Provider Name | Mira Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992207088 PECOS PAC ID: 0446505549 Enrollment ID: I20180613001735 |
| Provider Name | Dana Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033745922 PECOS PAC ID: 9335578467 Enrollment ID: I20200410000992 |
| Provider Name | Jessica Eckhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699189977 PECOS PAC ID: 8426462029 Enrollment ID: I20210121002606 |
| Provider Name | Christy A. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312061 PECOS PAC ID: 0345648556 Enrollment ID: I20211001001044 |
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