Healthcare Provider Details

I. General information

NPI: 1194521005
Provider Name (Legal Business Name): HOPE PRIMARY & URGENT CARE OF SOMERSET PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 BOGLE ST STE A
SOMERSET KY
42503-2836
US

IV. Provider business mailing address

PO BOX 36
STEARNS KY
42647-0036
US

V. Phone/Fax

Practice location:
  • Phone: 606-677-0094
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES CARROLL CORDER
Title or Position: OWNER
Credential:
Phone: 606-677-0094