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Contact Information

ACK HEALTHCARE MANAGEMENT, LLC
1520 4TH ST
LEWISPORT, KY42351
 Phone: 270-295-3890
 Fax: 270-295-3891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ACK HEALTHCARE MANAGEMENT, LLC

NPI # 1154748986
LBN Legal business name ACK HEALTHCARE MANAGEMENT, LLC
Authorized official CHARLES YOUNG - (OWNER/MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2014
Last updated 08/29/2019 - About 7 years ago
Identifiers
KY Medicaid 7100295770
KY Other 18D2054463 CLIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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