Active NPI
Security Enterprises 20 US LLC
- Non-Pharmacy Dispensing Site
- Bowling Green, KY
National Provider Identifier
1124334982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.