Assuredlink Case Management

LBN: Demetrius King
Assuredlink Case Management is an health care organization with primary practice located at 1990 Louisville Rd Ste 101 , Bowling Green KY 42101-1202. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Managed Care Organizations / Exclusive Provider Organization. Managed Care Organizations / Exclusive Provider Organization is the primary health care specialty. Demetrius King can be contacted via phone (270) 303-4669, or through King, Demetrius via phone (270) 303-4669.

Contact Information

Primary practice address
1990 Louisville Rd Ste 101 Bowling Green KY 42101-1202
Fax:
Website:
Authorized official contact:
Name: King, Demetrius LPCC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 171431 Kentucky
Managed Care Organizations / Exclusive Provider Organization 302F00000X 171431 Kentucky

Profile Details

NPI number 1336686062
LBN Legal business name Demetrius King
DBA Doing business as Assuredlink Case Management
Authorized official King, Demetrius LPCC
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 19th, 2017
Last updated Mar 2nd, 2017 - about 8 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 1336686062 NPPES
Kentucky MEDICAID 1336686062
Kentucky MEDICAID 1205267671

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