Park Street Partners, L.L.P.

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

License

XXXXXXXXXX Issued in KY

Legal business name

PARK STREET PARTNERS, L.L.P.

Practice address

1110 Wilkinson Trce
Bowling Green, KY 42103-3402

Phone

(270) 796-3590

Fax

(270) 745-1156

NPI assigned

Jul 31, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ronald G. Sowell

Title

Executive Vice-President

Phone

(270) 745-1500

Specialties & licenses 1

Addresses

Other names 1

• CorpCare Doing business as

Tax ID family

Corpcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Park Street Partners,LLP

  • Community/Retail Pharmacy
  • Bowling Green, KY
  • NPI 1003826777
  NPD tax ID

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1467708180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 WILKINSON TRCE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033402",
            "telephone_number": "270-796-3590",
            "fax_number": "270-745-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WILKINSON TRCE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033402",
            "telephone_number": "270-796-3590",
            "fax_number": "270-745-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK STREET PARTNERS, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "SOWELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE VICE-PRESIDENT",
        "authorized_official_telephone_number": "270-745-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "KY",
            "license": "XXXXXXXXXX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CorpCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chase Pardue
• Jacqueline Kay Pardue, APRN
• Susan Bates Pardue, PT
• Grady H. Pare, M.D.
• Park Street Partners, L.L.P.
• Park Street Partners,LLP
• Nicole Parker, LPA
• Taylor Katelyn Parker, DPT
• James R Parkerson, D.O.
• Sandra Evelyn Parks, PT

• Corporate Health Clinic/Center in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Corporate Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.