Organization Active NPI

Security Enterprises 20 US LLC

  • Non-Pharmacy Dispensing Site
  • Bowling Green, KY
National Provider Identifier
1124334982
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
SECURITY ENTERPRISES 20 US LLC
Practice address
830 Fairview Ave
Bowling Green, KY 42101-4911
Phone
(270) 904-3887
Fax
(270) 904-3887
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Hermila Garcia Marrtinez
Title
Owner
Phone
(270) 904-3887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

830 Fairview Ave
Bowling Green, KY 42101-4911

Mailing address

830 Fairview Ave
Bowling Green, KY 42101-4911
Phone (270) 904-3887

Other names 1

  • HemiTrack Surveillance System LLC Doing business as

National Provider Directory

National Provider Directory

Locations

830 Fairview Ave
Bowling Green, KY 42101
Phone (270) 842-4515

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1124334982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 FAIRVIEW AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014911",
            "telephone_number": "270-904-3887",
            "fax_number": "270-904-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FAIRVIEW AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014911",
            "telephone_number": "270-904-3887",
            "fax_number": "270-904-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURITY ENTERPRISES 20 US LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA MARRTINEZ",
        "authorized_official_first_name": "HERMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-904-3887"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HemiTrack Surveillance System LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 30, 2010; 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.