CJ Critical Care Transportation Systems of Ky Inc

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

1611 Issued in KY

Legal business name

CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY INC

Practice address

229 Island Creek Rd
Pikeville, KY 41501-9341

Phone

(606) 437-6620

NPI assigned

Mar 12, 2008

Last updated

Feb 12, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY INCAs reported in NPPES

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) 915-2303

Specialties & licenses 1

Addresses

Part of

CJ Critical Care Transport

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1598935017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR",
            "address_2": "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 ISLAND CREEK RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019341",
            "telephone_number": "606-437-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KY INC",
        "enumeration_date": "2008-03-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR",
        "authorized_official_telephone_number": "909-915-2303"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "KY",
            "license": "1611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie M Childress, CRNA
• Sankar R Chirumamilla, MD
• Young Min Cho, MD
• City of Pikeville
• CJ Critical Care Transportation Systems of Kentucky, Inc.
• Gatlin Gabriel Clark, CPSS
• Jamie L Clark, ABOC, NCLEC
• Jeffery Darrell Clark, CRNA
• Orville Mayo Clark III, OD
• Breanna Lynn Clemmer

• Air Ambulance in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Air Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.