NPIMap

Organization Active NPI

Community Action of Southern Kentucky

  • Non-emergency Medical Transport (VAN)
  • Bowling Green, KY
National Provider Identifier
1053593038
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
COMMUNITY ACTION OF SOUTHERN KENTUCKY
Practice address
921 Beauty Ave
Bowling Green, KY 42102-9014
Phone
(270) 782-3162
Fax
(270) 842-5735
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mrs. Cheryl H. Allen
Title
Executive Director
Phone
(270) 782-3162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

921 Beauty Ave
Bowling Green, KY 42102-9014

Mailing address

921 Beauty Ave
Post Office Box 90014
Bowling Green, KY 42102-9014
Phone (270) 782-3162

Other identifiers 1

IdentifierTypeStateIssuer
5600702400MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Community Action of Southern Kentucky3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1053593038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 BEAUTY AVE",
            "address_2": "POST OFFICE BOX 90014",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421029014",
            "telephone_number": "270-782-3162",
            "fax_number": "270-842-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 BEAUTY AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421029014",
            "telephone_number": "270-782-3162",
            "fax_number": "270-842-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION OF SOUTHERN KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-782-3162",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5600702400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.