NPIMap

Organization Active NPI

Med 1St of Owensboro

  • Rehabilitation Clinic/Center
  • Owensboro, KY
National Provider Identifier
1306958343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MED 1ST OF OWENSBORO
Practice address
3600 Frederica St
Suitea
Owensboro, KY 42301-6981
Phone
(270) 926-1774
Fax
(270) 926-7267
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marvin E. Poeling, DC
Title
President
Phone
(812) 471-8630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3600 Frederica St
Suitea
Owensboro, KY 42301-6981

Mailing address

PO Box 4506
Evansville, IN 47724-0506
Phone (812) 471-8630

National Provider Directory

National Provider Directory

Locations

3600 Frederica St
Owensboro, KY 42301
Phone (270) 684-0023

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306958343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4506",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477240506",
            "telephone_number": "812-471-8630",
            "fax_number": "812-471-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FREDERICA ST",
            "address_2": "SUITEA",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016981",
            "telephone_number": "270-926-1774",
            "fax_number": "270-926-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED 1ST OF OWENSBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POELING",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-471-8630",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.