Organization Active NPI

Kidslink, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hurricane, WV
National Provider Identifier
1982609012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KIDSLINK, LLC
Practice address
4003 Out Look Dr
Ste 2
Hurricane, WV 25526-9468
Phone
(304) 757-5312
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia Spencer
Title
Reimbursement Manager
Phone
(304) 757-5312

Specialties & licenses 1

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

Addresses

Primary practice location

4003 Out Look Dr
Ste 2
Hurricane, WV 25526-9468

Mailing address

4003 Out Look Dr
Ste 2
Hurricane, WV 25526-9468
Phone (304) 757-5312

Other identifiers 1

IdentifierTypeStateIssuer
3810001562MedicaidWV

National Provider Directory

National Provider Directory

Locations

4003 Out Look Dr
#2
Hurricane, WV 25526
Phone (304) 757-5312

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982609012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 OUT LOOK DR",
            "address_2": "STE 2",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269468",
            "telephone_number": "304-757-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 OUT LOOK DR",
            "address_2": "STE 2",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269468",
            "telephone_number": "304-757-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSLINK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "304-757-5312"
    },
    "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": "3810001562",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • 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.