Organization Active NPI

CJ Critical Care Transportation Systems of Ky

  • Air Ambulance
  • Ashland, KY
National Provider Identifier
1477723609
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
7019 Issued in KY
Legal business name
CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY
Practice address
229 35TH St
Ashland, KY 41101-2023
Phone
(909) 915-2303
NPI assigned
Mar 4, 2008
Last updated
Feb 11, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Mark Keene
Title
National Director
Phone
(909) 915-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 7019 KY Primary

Addresses

Primary practice location

229 35TH St
Ashland, KY 41101-2023

Mailing address

621 Carnegie Dr
Ste 205
San Bernardino, CA 92408-3536
Phone (800) 499-9495

Other identifiers 1

IdentifierTypeStateIssuer
55001507MedicaidKY

National Provider Directory

National Provider Directory
Part of
CJ Critical Care Transport

Locations

35 Volunteer Dr
Bedford, KY 40006
Phone (502) 255-4111

305 Airport Rd
Glasgow, KY 42141
Phone (270) 678-9111

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1477723609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR",
            "address_2": "STE 205",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083536",
            "telephone_number": "800-499-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 35TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012023",
            "telephone_number": "909-915-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY",
        "enumeration_date": "2008-03-04",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR",
        "authorized_official_telephone_number": "909-915-2301"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "KY",
            "license": "7019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55001507",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.