Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tri State Family Medical Center, LLC

Organization Family Medicine Physician · NPI 1194959452

Tri State Family Medical Center, LLC provides Family Medicine Physician services in Louisa, Kentucky. Licensed in Kentucky. Registered with an NPI since 2009.

Licensed in
KY
In the registry since
2009
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2583 Highway 644 Ste 1
Louisa, KY 41230-9436 Not confirmed with CMS for 11 years — call before visiting
Phone: (606) 638-3131
Fax: (606) 638-3139
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25469 (KY)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 25469 (KY)
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence 25469
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3007167 (KY)

Record details

NPI number1194959452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janice Gauze — Vice President · (606) 638-3131
NPI enumeratedMay 14, 2009
Last updated in NPPESDecember 9, 2014
Mailing address2583 Highway 644 Ste 1, Louisa, KY 41230-9436

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