Active NPI
CJ Critical Care Transportation Systems of Ky
- Air Ambulance
- Ashland, KY
National Provider Identifier
1477723609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 7019
- 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, 2009
- Organization subpart
- Yes
- Parent organization
- CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55001507 | Medicaid | KY |
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.