Assuredlink Case Management Agency

LBN: Assuredlink Case Management Agency
Assuredlink Case Management Agency is an health care organization with primary practice located at 1990 Louisville Rd 101, Bowling Green KY 42101-1202. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Case Management, Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is the primary health care specialty. Assuredlink Case Management Agency can be contacted via phone (270) 599-0212, or through King, Demetrius Depp via phone (270) 303-4669.

Contact Information

Primary practice address
1990 Louisville Rd 101 Bowling Green KY 42101-1202
Phone: (270) 599-0212
Fax:
Website:
Map and Directions
Authorized official contact:
Name: King, Demetrius Depp E.D.
Phone: (270) 303-4669

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 171431 Kentucky
Agencies / Case Management 251B00000X 7100347620 Kentucky
Transportation Services / Private Vehicle 347C00000X K12245600 Kentucky

Profile Details

NPI number 1205267671
LBN Legal business name Assuredlink Case Management Agency
DBA Doing business as
Authorized official King, Demetrius Depp E.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2013
Last updated Mar 3rd, 2017 - about 7 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 1205267671 NPPES
Kentucky MEDICAID 7100224880
Kentucky MEDICAID 7100438780
Kentucky MEDICAID 7100347620

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