NPIMap

Organization Active NPI

Knox County Association for Retarded Citizens, Inc.

  • Specialist
  • Vincennes, IN
National Provider Identifier
1356754675
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22003141A Issued in IN
Legal business name
KNOX COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Practice address
2900 E Arc Ave
Vincennes, IN 47591-6888
Phone
(812) 886-4312
Fax
(812) 886-4844
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Judith Kotter
Title
VP Business Finance
Phone
(812) 886-4312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 22003141A IN Primary

Addresses

Primary practice location

2900 E Arc Ave
Vincennes, IN 47591-6888

Mailing address

2525 N 6TH St
Vincennes, IN 47591-2405
Phone (812) 886-4312

Other identifiers 9

IdentifierTypeStateIssuer
200714610AMedicaidIN
100229180AMedicaidIN
200363140AMedicaidIN
100243240AMedicaidIN
100233980AMedicaidIN
200433130AMedicaidIN
100249470AMedicaidIN
200333060AMedicaidIN
200333130AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Knox County Association for Retarded Citizens Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1356754675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N 6TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912405",
            "telephone_number": "812-886-4312",
            "fax_number": "812-886-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E ARC AVE",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475916888",
            "telephone_number": "812-886-4312",
            "fax_number": "812-886-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "KOTTER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "VP BUSINESS FINANCE",
        "authorized_official_telephone_number": "812-886-4312"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "22003141A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200714610A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229180A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200363140A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243240A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233980A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200433130A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249470A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200333060A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200333130A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.