ACE CLINIQUE OF MEDICINE — NPI 1770502791 (Licensed & Credentialed Radiologic Technologist in HAZARD, KY)

CMS-1500 Box 24J / 33a • NPI

1770502791

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

247100000X

Licensed & Credentialed Radiologic Technologist

Box 32 Service Location & ZIP+4

181 ROY CAMPBELL DR, HAZARD, KY, 41701-0000

✓ 9-Digit EDI 837 ZIP+4 (41701-0000)

Practice Phone & Referral Fax

(606) 439-6503

Fax: (606) 439-6503

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770502791 (ACE CLINIQUE OF MEDICINE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1770502791` (NPI-2 Organization / Facility)
Provider / Legal Name	ACE CLINIQUE OF MEDICINE
Plain-English Specialty	Licensed & Credentialed Radiologic Technologist NUCC Code: `247100000X` (Radiologic Technologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	181 ROY CAMPBELL DR, HAZARD, KY, 41701-0000
Practice Telephone / Fax	Tel: (606) 439-6503 \| Fax: (606) 439-6503
Administrative Mailing Address	PO BOX 2008, HAZARD, KY, 41702-2008
Enumeration & Last Sync	Enumerated: 2006-07-19 \| CMS Record Updated: 2020-08-22
Authorized Official	JAMES CHANEY (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

181 ROY CAMPBELL DR, HAZARD, KY, 41701-0000

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Plain-English Taxonomy & CMS Crosswalk (247100000X)

What Does Taxonomy Code 247100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 247100000X translates to:
"Licensed & Credentialed Radiologic Technologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiologic Technologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACE CLINIQUE OF MEDICINE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`247100000X` — Radiologic Technologist Plain English: Licensed & Credentialed Radiologic Technologist	State: KY \| License: `28914` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ACE CLINIQUE OF MEDICINE (NPI #1770502791)