Kentucky River Children'S Advocacy Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

KENTUCKY RIVER CHILDREN'S ADVOCACY CENTER

Practice address

465 Cedar St
Hazard, KY 41701-1511

Phone

(606) 487-9173

Fax

(606) 487-1644

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Melissa W Quillen

Title

Executive Director

Phone

(606) 487-9173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740329135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CEDAR ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011511",
            "telephone_number": "606-487-9173",
            "fax_number": "606-487-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CEDAR ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011511",
            "telephone_number": "606-487-9173",
            "fax_number": "606-487-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY RIVER CHILDREN'S ADVOCACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUILLEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "606-487-9173"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13000062",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentucky Pain Management Services
• Kentucky Pain Physicians
• Kentucky Pain Physicians, PSC
• Kentucky Primary Medical Services LLC
• Kentucky River Area Dev Dist
• Kentucky River Community Care, Inc
• Kentucky River Community Care, Inc
• Kentucky River Community Care, Inc
• Kentucky River Community Care, Inc
• Kentucky River Community Care, Inc

• All providers in Hazard, KY
• Voluntary or Charitable Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.