Organization Active NPI

NCM Motorsports Park LLC

  • Land Ambulance
  • Bowling Green, KY
National Provider Identifier
1497469787
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NCM MOTORSPORTS PARK LLC
Practice address
505 Kimberlee a Fast Dr
Bowling Green, KY 42103-7514
Phone
(270) 467-8802
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Zachary G Rackovan
Title
Track Operations General Manager
Phone
(270) 467-8802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

505 Kimberlee a Fast Dr
Bowling Green, KY 42103-7514

Mailing address

505 Kimberlee a Fast Dr
Bowling Green, KY 42103-7514
Phone (270) 467-8802

National Provider Directory

National Provider Directory

Locations

505 Kimberlee a Fast Dr
Bowling Green, KY 42103
Phone (270) 467-8802

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1497469787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 KIMBERLEE A FAST DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037514",
            "telephone_number": "270-467-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 KIMBERLEE A FAST DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037514",
            "telephone_number": "270-467-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCM MOTORSPORTS PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "RACKOVAN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "TRACK OPERATIONS GENERAL MANAGER",
        "authorized_official_telephone_number": "270-467-8802"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 11, 2023; 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.