# PINEVILLE MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PINEVILLE MEDICAL CENTER, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811487317
- **Legal business name:** PINEVILLE MEDICAL CENTER, LLC
- **Authorized official:** KEVIN COUCH (CONTROLLER)
- **Authorized official phone:** (606) 337-3051

## Contact information

- **Practice address:** 850 RIVERVIEW AVE, PINEVILLE, KY 40977-1452
- **Practice address phone:** (606) 337-3051
- **Practice address fax:** (606) 337-2871
- **Mailing address:** 850 RIVERVIEW AVE, PINEVILLE, KY 40977-1452
- **Mailing address phone:** (606) 337-3051
- **Mailing address fax:** (606) 337-2871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2018
- **Last updated:** 05/10/2018