Active NPI
Glasgow Urgent Clinic Inc
Doing business as Greenwood Urgent Clinic
- Family Medicine Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GLASGOW URGENT CLINIC INC
- Doing business as
- Greenwood Urgent Clinic
- Practice address
- 4863B Scottsville Rd
Bowling Green, KY 42104-7855 - Phone
- (270) 843-5662
- Fax
- (270) 843-5614
- NPI assigned
- Sep 1, 2005
- Last updated
- Mar 2, 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
- Mr. Kenny Joe Manion, MD
- Title
- Owner Ceo
- Phone
- (270) 651-7796
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | KY | Primary |
Addresses
Primary practice location
4863B Scottsville Rd
Bowling Green, KY 42104-7855
Mailing address
4863B Scottsville Rd
Bowling Green, KY 42104-7855
Phone (270) 843-5662
Other names 1
- Greenwood Urgent Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040602000720 | KY | Part B Supplier - Clinic/Group Practice | 3274515465 |
Receives reassigned benefits from 3 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glasgow, KY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Scottsville Urgent Clinic
- Family Medicine Physician
- Scottsville, KY
- NPI 1922092642
O20040602000720
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1518951896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267488000000",
"number": "1386638666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4863B SCOTTSVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421047855",
"telephone_number": "270-843-5662",
"fax_number": "270-843-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4863B SCOTTSVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421047855",
"telephone_number": "270-843-5662",
"fax_number": "270-843-5614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLASGOW URGENT CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-01",
"last_updated": "2010-03-02",
"status": "A",
"authorized_official_last_name": "MANION",
"authorized_official_first_name": "KENNY",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "OWNER CEO",
"authorized_official_telephone_number": "270-651-7796",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenwood Urgent Clinic",
"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 Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.