Ack Healthcare Management LLC
Organization Active NPI Nurse Practitioner · Hardinsburg, KY
NPI 1457719643 · NPPES record last updated Aug 29, 2019
Key facts
- NPI
- 1457719643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- ACK HEALTHCARE MANAGEMENT LLC
- Practice address
- 83 Ballpark Rd
Hardinsburg, KY 40143 - Phone
- (270) 580-4778
- Fax
- (270) 580-4779
- NPI assigned
- Feb 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Chuck Young
- Title
- Owner
- Phone
- (270) 295-3890
Other NPIs on the same Medicare enrollment 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140528001695 | KY | Part B Supplier - Clinic/Group Practice | 3072736602 |
Receives reassigned benefits from 28 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hardinsburg, KY; Leitchfield, KY; Lewisport, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
83 Ballpark Rd
Hardinsburg, KY 40143
Mailing address
PO Box 1099
Owensboro, KY 42302-1099
Phone (502) 277-5170
Other names
- Saint Camillus Urgent Care
Other providers in Hardinsburg, KY
- Ack Healthcare Management LLC
- Air Evac EMS Inc
- Armes Family Chiropractic LLC
- Ryne Thomas Armes
- Hulan Carlysle Ashby
All providers in Hardinsburg, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.