Organization Active NPI

Pelfrey Management Group LLC

  • Non-emergency Medical Transport (VAN)
  • Paintsville, KY
National Provider Identifier
1225544091
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
100621 Issued in KY
Legal business name
PELFREY MANAGEMENT GROUP LLC
Practice address
610 FM Stafford Ave
Paintsville, KY 41240-1230
Phone
(606) 789-5577
Fax
(606) 789-8612
NPI assigned
Dec 15, 2017
Last updated
Dec 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Susan M Litton
Title
Administrator
Phone
(606) 789-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 100621 KY Primary

Addresses

Primary practice location

610 FM Stafford Ave
Paintsville, KY 41240-1230

Mailing address

610 FM Stafford Ave
Paintsville, KY 41240-1230
Phone (606) 789-5577

National Provider Directory

National Provider Directory

Locations

610 FM Stafford Ave
Paintsville, KY 41240
Phone (606) 789-5576

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1225544091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 FM STAFFORD AVE",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401230",
            "telephone_number": "606-789-5577",
            "fax_number": "606-789-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 FM STAFFORD AVE",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401230",
            "telephone_number": "606-789-5577",
            "fax_number": "606-789-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELFREY MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "LITTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-789-5577"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": "100621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.