NPIMap

Organization Active NPI

Audubon Area Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Owensboro, KY
National Provider Identifier
1619797289
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AUDUBON AREA COMMUNITY CARE CLINIC, INC.
Practice address
1675 Leitchfield Rd
Owensboro, KY 42303-0935
Phone
(270) 686-6040
Fax
(270) 686-6050
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Samantha Taylor Kaai
Title
Project Director
Phone
(270) 686-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1675 Leitchfield Rd
Owensboro, KY 42303-0935

Mailing address

PO Box 1874
Owensboro, KY 42302-1874
Phone (270) 686-6040

National Provider Directory

National Provider Directory
Tax ID family
Audubon Area Community Care Clinic Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1675 Leitchfield Rd
Owensboro, KY 42303
Phone (270) 683-9528

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1619797289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1874",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021874",
            "telephone_number": "270-686-6040",
            "fax_number": "270-686-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEITCHFIELD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030935",
            "telephone_number": "270-686-6040",
            "fax_number": "270-686-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON AREA COMMUNITY CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "KAAI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "270-686-6040"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.