Healthcare Provider Details

I. General information

NPI: 1477464121
Provider Name (Legal Business Name): PIKEVILLE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11155 US HIGHWAY 23 S
BETSY LAYNE KY
41605-4160
US

IV. Provider business mailing address

PO BOX 2917
PIKEVILLE KY
41502-2917
US

V. Phone/Fax

Practice location:
  • Phone: 606-478-9474
  • Fax: 606-478-1000
Mailing address:
  • Phone: 606-478-9474
  • Fax: 606-478-1000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE HAGY
Title or Position: CFO / AUTHORIZED OFFICIAL
Credential:
Phone: 606-430-3519