CJ Critical Care Transportation Systems of Ky Inc

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

7001 Issued in KY

Legal business name

CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY INC

Practice address

2807 Taylorsville Rd
Louisville, KY 40205-3166

Phone

(502) 479-9105

NPI assigned

Mar 4, 2008

Organization subpart

Yes

Parent organization

CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Keene

Title

National Director

Phone

(909) 915-2301

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Statcare

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1013187244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR",
            "address_2": "STE 205",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083536",
            "telephone_number": "800-499-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 TAYLORSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053166",
            "telephone_number": "502-479-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY INC",
        "enumeration_date": "2008-03-04",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR",
        "authorized_official_telephone_number": "909-915-2301"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "KY",
            "license": "7001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55001630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy M. Cissell, ARNP
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• Katherine Clagett
• Mathilde Alexandra Clairet
• Joseph Alvin Clan Jr., M.D.
• Kristen Nichole Clan, BCBA, LBA

• Air Ambulance in Louisville, KY
• Providers in Louisville, KY by specialty
• Air Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.