OrganizationActive
Beaver Creek Emergency Group LLC
NPI 1689165904 · Emergency Medicine Physician · Martin, KY
Provider details
- NPI number
- 1689165904
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisha Falk, Vp of Contracting(337) 609-1221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11203 Main St
Martin, KY 41649-7999
Phone: (606) 285-6490
Approximate (ZIP-level) locationGet directions
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Registry dates
- Enumerated
- 2018-05-22
- Last updated
- 2022-03-23
- Certified
- 2022-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.