Organization Active NPI

Karen Ammon

Doing business as Senior Mobility and Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Hartford, KY
National Provider Identifier
1508823188
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KAREN AMMON
Doing business as
Senior Mobility and Medical Supplies
Practice address
100 N Main St
Hartford, KY 42347-1123
Phone
(270) 298-0046
Fax
(270) 298-0079
NPI assigned
Apr 27, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Karen AmmonNPI 1295905024
Title
President
Phone
(270) 298-0046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

100 N Main St
Hartford, KY 42347-1123

Mailing address

PO Box 480
Hartford, KY 42347-0480
Phone (270) 298-0046

Other identifiers 3

IdentifierTypeStateIssuer
90012022MedicaidKY
000000475146OtherANTHEM
50017879OtherKYPASSPORT HEALTH PLAN

Other names 1

  • SENIOR MOBILITY AND MEDICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory

Locations

100 N Main St
Hartford, KY 42347
Phone (270) 298-0046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1508823188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470480",
            "telephone_number": "270-298-0046",
            "fax_number": "270-298-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471123",
            "telephone_number": "270-298-0046",
            "fax_number": "270-298-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN AMMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "AMMON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-298-0046"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90012022",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000475146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50017879",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIOR MOBILITY AND MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.