Provider Demographics
NPI:1275592529
Name:DAVID J. HAYS
Entity Type:Organization
Organization Name:DAVID J. HAYS
Other - Org Name:MCKEE MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE BILLING CREDENTIALING
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:606-843-6195
Mailing Address - Street 1:PO BOX 757
Mailing Address - Street 2:
Mailing Address - City:MCKEE
Mailing Address - State:KY
Mailing Address - Zip Code:40447-0757
Mailing Address - Country:US
Mailing Address - Phone:606-287-5162
Mailing Address - Fax:606-287-8034
Practice Address - Street 1:US HWY 290
Practice Address - Street 2:CAMPBELL DRUG BLDG
Practice Address - City:MCKEE
Practice Address - State:KY
Practice Address - Zip Code:40447-0757
Practice Address - Country:US
Practice Address - Phone:606-287-5162
Practice Address - Fax:606-287-8034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X, 207R00000X, 208000000X, 363A00000X, 363L00000X
KY261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY35001734Medicaid
KY7100163260Medicaid
KY35001734Medicaid
KY7364Medicare PIN
KY183923Medicare Oscar/Certification