NPIMap

Organization Active NPI

Northeast Kentucky Community Action Agency

  • Transportation Broker
  • Olive Hill, KY
National Provider Identifier
1174813075
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
License
347E00000X Issued in KY
Legal business name
NORTHEAST KENTUCKY COMMUNITY ACTION AGENCY
Practice address
539 Hitchins Avenue
Olive Hill, KY 41164
Phone
(606) 286-4443
Fax
(606) 286-6733
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Mr. David Carroll
Title
Director
Phone
(606) 286-4443

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 343900000X KY
Transportation Broker 347E00000X 347E00000X KY Primary

Addresses

Primary practice location

539 Hitchins Avenue
Olive Hill, KY 41164

Mailing address

539 Hitchins Avenue
Olive Hill, KY 41164
Phone (606) 286-4443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1174813075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 HITCHINS AVENUE",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "41164",
            "telephone_number": "606-286-4443",
            "fax_number": "606-286-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 HITCHINS AVENUE",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "41164",
            "telephone_number": "606-286-4443",
            "fax_number": "606-286-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST KENTUCKY COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "606-286-4443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": "343900000X",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "KY",
            "license": "347E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Hill, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.