CJ Critical Care Transportation Systems of Kentucky, Inc.

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

7019 Issued in KY

Legal business name

CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KENTUCKY, INC.

Practice address

911 Bypass Rd
Pikeville, KY 41501-1689

Phone

(606) 218-4602

Fax

(606) 218-4609

NPI assigned

Jun 15, 2005

Last updated

Sep 28, 2009By 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

Mark Keene

Title

National Director

Phone

(909) 915-2301

Specialties & licenses 6

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1992700173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CURRY HOLLOW RD",
            "address_2": "STE G300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364631",
            "telephone_number": "412-653-2185",
            "fax_number": "412-653-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-218-4602",
            "fax_number": "606-218-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KENTUCKY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR",
        "authorized_official_telephone_number": "909-915-2301"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "KY",
            "license": "7013",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "KY",
            "license": "7019",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "VA",
            "license": "1207",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "KY",
            "license": "7010",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1611",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "3010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010008808",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000871",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8010002000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Childers, R.N.
• Jeannie M Childress, CRNA
• Sankar R Chirumamilla, MD
• Young Min Cho, MD
• City of Pikeville
• CJ Critical Care Transportation Systems of Ky Inc
• Gatlin Gabriel Clark, CPSS
• Jamie L Clark, ABOC, NCLEC
• Jeffery Darrell Clark, CRNA
• Orville Mayo Clark III, OD

• Air Ambulance in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Air Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.