Adult Immunization Management, Llc

LBN: Adult Immunization Management, Llc
Adult Immunization Management, Llc is an health care organization with primary practice located at 1010 Allen St Suite 203, Owensboro KY 42303-3025. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Adult Immunization Management, Llc can be contacted via phone (270) 663-1240, or through Crabtree, Jerry via phone (270) 663-1240.

Contact Information

Primary practice address
1010 Allen St Suite 203 Owensboro KY 42303-3025
Phone: (270) 663-1240
Fax: (270) 228-4400
Website:
Map and Directions
Authorized official contact:
Name: Crabtree, Jerry
Phone: (270) 663-1240

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1508195041
LBN Legal business name Adult Immunization Management, Llc
DBA Doing business as
Authorized official Crabtree, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2009
Last updated Dec 2nd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508195041 NPPES
Kentucky MEDICAID 7100123610

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