Healthcare Provider Details

I. General information

NPI: 1003045113
Provider Name (Legal Business Name): BEST CARE FAMILY PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 01/14/2024
Certification Date: 01/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 COLUMBIA HWY
GREENSBURG KY
42743-1118
US

IV. Provider business mailing address

704 COLUMBIA HWY
GREENSBURG KY
42743-1118
US

V. Phone/Fax

Practice location:
  • Phone: 270-932-4284
  • Fax: 270-932-4285
Mailing address:
  • Phone: 270-932-4284
  • Fax: 270-932-4285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number17421
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5086P
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROBBYN GRIMSLEY JEWELL
Title or Position: PRESIDENT
Credential: ARNP
Phone: 270-932-4284