White House Clinic | |
1010 Main St S Mc Kee KY 40447 | |
(606) 287-7104 | |
(606) 287-4409 |
Full Name | White House Clinic |
---|---|
Speciality | Clinic/Center |
Location | 1010 Main St S, Mc Kee, Kentucky |
Authorized Official Name and Position | Jenny Sargent (CREDENTIALER) |
Authorized Official Contact | 8596267700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
White House Clinic 1010 Main St S Mc Kee KY 40447-7089 Ph: (606) 287-7104 | White House Clinic 1010 Main St S Mc Kee KY 40447 Ph: (606) 287-7104 |
NPI Number | 1770569113 |
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Provider Enumeration Date | 12/19/2005 |
Last Update Date | 07/17/2018 |
Medicare PECOS PAC ID | 8224946561 |
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Medicare Enrollment ID | O20031118000911 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770569113 | NPI | - | NPPES |
31000243 | Medicaid | KY | |
2768 | Other | KY | MEDICARE ADMINISTAR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700030 (Kentucky) | Primary |
Provider Name | Helen Jeanette Campbell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073546388 PECOS PAC ID: 3375439045 Enrollment ID: I20040227000680 |
Provider Name | Kimberly D Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720064173 PECOS PAC ID: 2365426251 Enrollment ID: I20040617000439 |
Provider Name | Patricia A Fain |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1679578892 PECOS PAC ID: 4486624202 Enrollment ID: I20040930001037 |
Provider Name | Gina Marie Dabney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467420364 PECOS PAC ID: 9830144963 Enrollment ID: I20050322000212 |
Provider Name | Alison N Moncayo |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1477510501 PECOS PAC ID: 3971515180 Enrollment ID: I20060706000195 |
Provider Name | Christie J Croft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841234051 PECOS PAC ID: 1658378328 Enrollment ID: I20061023000555 |
Provider Name | Kathleen Halcomb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053410951 PECOS PAC ID: 7416954425 Enrollment ID: I20061106000337 |
Provider Name | Vicki L Hackman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215913520 PECOS PAC ID: 1951488253 Enrollment ID: I20080410000813 |
Provider Name | Ma Joy Sandra B Dionisio |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255317244 PECOS PAC ID: 8729158639 Enrollment ID: I20080604000474 |
Provider Name | Jon Anthony Arvin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285675892 PECOS PAC ID: 9234279753 Enrollment ID: I20091215000027 |
Provider Name | Melissa Sparks |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720064769 PECOS PAC ID: 9133261795 Enrollment ID: I20100120000029 |
Provider Name | Oneida Helton Peck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265767867 PECOS PAC ID: 9830224419 Enrollment ID: I20100322000364 |
Provider Name | Heather J Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730401878 PECOS PAC ID: 0648305136 Enrollment ID: I20100323000597 |
Provider Name | Cathy Dotson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457686065 PECOS PAC ID: 0648306142 Enrollment ID: I20100408000377 |
Provider Name | Jayanthi R Ravisankar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1881671204 PECOS PAC ID: 6901939172 Enrollment ID: I20100809000947 |
Provider Name | Tammy M Gross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801109350 PECOS PAC ID: 6002099751 Enrollment ID: I20110318000034 |
Provider Name | Bradley Williams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831329713 PECOS PAC ID: 4981873338 Enrollment ID: I20110802000075 |
Provider Name | Stephanie Mcguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770861254 PECOS PAC ID: 5698944429 Enrollment ID: I20110811000258 |
Provider Name | Teresa W Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619948569 PECOS PAC ID: 6608878756 Enrollment ID: I20121009000130 |
Provider Name | Tiffany R Williamson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477826964 PECOS PAC ID: 3274759121 Enrollment ID: I20140729002324 |
Provider Name | Eric D Cummings |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033521315 PECOS PAC ID: 9133430234 Enrollment ID: I20150616001741 |
Provider Name | Angela Hignite |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356609895 PECOS PAC ID: 2466765177 Enrollment ID: I20150723007478 |
Provider Name | Ruby A Bishop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194107342 PECOS PAC ID: 6406160092 Enrollment ID: I20150727000946 |
Provider Name | Sarah Tibbs |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1861758922 PECOS PAC ID: 7911212584 Enrollment ID: I20150812007499 |
Provider Name | Jacquelyn L Pegram |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497206783 PECOS PAC ID: 1355623562 Enrollment ID: I20170124001653 |
Provider Name | Laura Click |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194003749 PECOS PAC ID: 0446534788 Enrollment ID: I20170303001649 |
Provider Name | Sherra Lynn Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003267402 PECOS PAC ID: 6608151154 Enrollment ID: I20170323001197 |
Provider Name | Paul N Karkorian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568896967 PECOS PAC ID: 6406131804 Enrollment ID: I20170328000113 |
Provider Name | Donetta S Peek |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003864604 PECOS PAC ID: 0244314029 Enrollment ID: I20171025003144 |
Provider Name | Shanna Sharber |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558755686 PECOS PAC ID: 3072860568 Enrollment ID: I20180713002371 |
Provider Name | Rebecca Brandenburg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104393925 PECOS PAC ID: 8426392333 Enrollment ID: I20181204002107 |
Provider Name | Mary Ayres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023503166 PECOS PAC ID: 5294078820 Enrollment ID: I20190522000501 |
Provider Name | Brittany Elise Alleshouse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972164234 PECOS PAC ID: 8628305406 Enrollment ID: I20190816001986 |
Provider Name | Jennifer R Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952963282 PECOS PAC ID: 6002144995 Enrollment ID: I20190830001578 |
Provider Name | Laura Ashley Short |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013553627 PECOS PAC ID: 4486080355 Enrollment ID: I20200212002837 |
Provider Name | Tonya Renae Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326671470 PECOS PAC ID: 8729416672 Enrollment ID: I20200309000304 |
Provider Name | Julie Lachelle Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871864876 PECOS PAC ID: 9335309186 Enrollment ID: I20200709002162 |
Provider Name | Andi Alexandria Vance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629682356 PECOS PAC ID: 1759709181 Enrollment ID: I20200916001219 |
Provider Name | Nathaniel Luebke |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396223517 PECOS PAC ID: 5193135416 Enrollment ID: I20201027002810 |
Provider Name | Sinduja Jayaraj |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356862775 PECOS PAC ID: 1456601210 Enrollment ID: I20201123002349 |
Provider Name | Sarah E Helphinstine |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396240495 PECOS PAC ID: 6002143179 Enrollment ID: I20210804004066 |
Provider Name | Melissa D Stipp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922676204 PECOS PAC ID: 6103221353 Enrollment ID: I20210825003698 |
Provider Name | Darah Whitmer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710530928 PECOS PAC ID: 4587058474 Enrollment ID: I20220217002418 |
Provider Name | Larry Paul Davenport |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265185409 PECOS PAC ID: 8921492794 Enrollment ID: I20220222001650 |
Provider Name | Tammy Binder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770248452 PECOS PAC ID: 0244625218 Enrollment ID: I20220310000803 |
Provider Name | Joshua Aaron Patterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346901022 PECOS PAC ID: 5294116802 Enrollment ID: I20220713003279 |
Provider Name | Taryn Alyse Coleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841919875 PECOS PAC ID: 2668849522 Enrollment ID: I20221104002623 |
Provider Name | Mia Jeanette Zetter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538880588 PECOS PAC ID: 9335517457 Enrollment ID: I20221122000735 |
Provider Name | Brittany Spivey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427761378 PECOS PAC ID: 5193197127 Enrollment ID: I20230220002613 |
Provider Name | Sherry Lynn Dillon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386075810 PECOS PAC ID: 6507198769 Enrollment ID: I20230525003353 |
Provider Name | Melody Stewart-cyrus |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1477533271 PECOS PAC ID: 4587650692 Enrollment ID: I20230712003246 |
Provider Name | Whitney Morgan Hunt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982381240 PECOS PAC ID: 1759742018 Enrollment ID: I20230802003244 |
Provider Name | Rebecca Kuruvilla |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033679907 PECOS PAC ID: 6406180926 Enrollment ID: I20230907002180 |
Provider Name | Carolyn Louise Iverson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467121020 PECOS PAC ID: 9234583642 Enrollment ID: I20231003002316 |
Provider Name | Alysha Greenwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700668514 PECOS PAC ID: 3173970696 Enrollment ID: I20231106001133 |
Provider Name | Rebekah Quinn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770109639 PECOS PAC ID: 8729404975 Enrollment ID: I20240429001259 |
Provider Name | Jessica Leann Gates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194570705 PECOS PAC ID: 7012459787 Enrollment ID: I20240610001401 |
Family Health Care Associates 2 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3331 Highway 421 S, Annex Building Ste 1, Mc Kee, KY 40447 Phone: 606-627-6371 | |
Hometown Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 Main St S, Mc Kee, KY 40447 Phone: 859-893-1035 |