Adult Immunization Management, LLC
Organization Active NPI Health Service Clinic/Center · Owensboro, KY
NPI 1508195041 · NPPES record last updated Dec 2, 2015
Key facts
- NPI
- 1508195041
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- ADULT IMMUNIZATION MANAGEMENT, LLC
- Practice address
- 1010 Allen St
Suite 203
Owensboro, KY 42303-3025 - Phone
- (270) 663-1240
- Fax
- (270) 228-4400
- NPI assigned
- Dec 11, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry Crabtree
- Title
- Owner
- Phone
- (270) 663-1240
National Provider Directory
Locations
3525 Frederica St
Ste 8
Owensboro, KY 42301
Phone (270) 316-6347
1010 Allen St
Ste 203
Owensboro, KY 42303
Phone (270) 663-1240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
1010 Allen St
Suite 203
Owensboro, KY 42303-3025
Mailing address
PO Box 1221
Owensboro, KY 42302-1221
Phone (270) 663-1240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100123610 | Medicaid | KY |
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- Carol G Adkins
- James Rodney Adkins
- Jamie Adkins
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All providers in Owensboro, KY · Health Service Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.