Healthcare Provider Details

I. General information

NPI: 1871403832
Provider Name (Legal Business Name): PIKEVILLE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5425 N MAYO TRL STE 102
PIKEVILLE KY
41501-2964
US

IV. Provider business mailing address

PO BOX 2917
PIKEVILLE KY
41502-2917
US

V. Phone/Fax

Practice location:
  • Phone: 606-437-0701
  • Fax: 606-437-9262
Mailing address:
  • Phone: 606-437-0701
  • Fax:

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