NPIMap

Organization Active NPI

Audubon Area Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Owensboro, KY
National Provider Identifier
1992525562
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
1335 W 11TH St
Owensboro, KY 42301-2073
Phone
(270) 686-6040
Fax
(270) 686-6050
NPI assigned
Oct 16, 2024
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 11

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

National Provider Directory

National Provider Directory
Tax ID family
Audubon Area Community Care Clinic Inc (12 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

1335 W 11TH St
Owensboro, KY 42301-2073

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2024.

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1992525562",
    "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": "1335 W 11TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012073",
            "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": null,
            "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.