Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Icc Medical LLC

Family Medicine Physician in Glasgow, KY · enumerated 2006 · authorized official Roger Williams, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891725743

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Icc Medical LLC

Other name <Unavail>

Practice address 405 S. L. Rogers Wells Blvd, Glasgow, KY, 42141

Phone (270) 834-8892

Fax (270) 834-8899

Enumeration date Jul 4, 2006

Last updated in NPPES Apr 20, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Roger Williams

Title Owner

Phone (270) 834-8892

Other identifiers

Identifier	Type	State	Issuer
000000486204	Other	KY	ANTHEM BC/BS
65945404	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-20. Verify at npiregistry.cms.hhs.gov.

Where is Icc Medical LLC located?

The practice location on file with NPPES is in Glasgow, KY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.