Coordinated Aging Services

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

351641972 Issued in IN

Legal business name

COORDINATED AGING SERVICES

Practice address

1390 E Columbus St
Martinsville, IN 46151-1711

Phone

(765) 342-3007

Fax

(765) 342-3712

NPI assigned

May 31, 2006

Last updated

Aug 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joann Williams

Title

Executive Director

Phone

(765) 342-3007

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1710934948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 E COLUMBUS ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511711",
            "telephone_number": "765-342-3007",
            "fax_number": "765-342-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 E COLUMBUS ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511711",
            "telephone_number": "765-342-3007",
            "fax_number": "765-342-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED AGING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-342-3007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "351641972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100086950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.