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Contact Information

ASSUREDLINK CASE MANAGEMENT AGENCY
1990 LOUISVILLE RD
101
BOWLING GREEN, KY42101-1202
 Phone: 270-599-0212
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
 

Case Management

251B00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for ASSUREDLINK CASE MANAGEMENT AGENCY

NPI # 1205267671
LBN Legal business name ASSUREDLINK CASE MANAGEMENT AGENCY
Authorized official DEMETRIUS KING - (OWNER/ EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2013
Last updated 03/03/2017 - About 9 years ago
Identifiers
KY License # 171431
KY License # 7100347620
KY License # K12245600
KY Medicaid 7100224880
KY Medicaid 7100347620
KY Medicaid 7100438780
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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