Kentucky River Area Dev Dist

LBN: Kentucky River Area Dev Dist
Kentucky River Area Dev Dist is an health care organization with primary practice located at 917 Perry Park Road , Hazard KY 41701. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Supports Brokerage. Agencies / Supports Brokerage is the primary health care specialty. Kentucky River Area Dev Dist can be contacted via phone (606) 436-3158, or through Allen, Michelle L. via phone (606) 436-3158.

Contact Information

Primary practice address
917 Perry Park Road Hazard KY 41701
Phone: (606) 436-3158
Fax: (606) 436-2144
Website:
Map and Directions
Authorized official contact:
Name: Allen, Michelle L.
Phone: (606) 436-3158

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X Kentucky
Agencies / Supports Brokerage 251X00000X

Profile Details

NPI number 1215082466
LBN Legal business name Kentucky River Area Dev Dist
DBA Doing business as
Authorized official Allen, Michelle L.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Dec 1st, 2010 - about 14 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 1215082466 NPPES
Kentucky MEDICAID 1700083700
Kentucky MEDICAID 3300146200
Kentucky MEDICAID 4399612300

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