Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Mountain Emergency Group Limited Liability Company

Organization Emergency Medicine Physician · NPI 1568010064

Pine Mountain Emergency Group Limited Liability Company is an Emergency Medicine Physician in Harlan, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3

Practice location Address checks out

81 Ball Park Rd
Harlan, KY 40831-1701
Phone: (606) 573-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1568010064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (337) 609-1221
NPI enumeratedAugust 28, 2019
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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