District 4 Cdo Program in Bowling Green - Supports Brokerage
District 4 Cdo Program - NPI 1588702294
District 4 Cdo Program is a Supports Brokerage in Bowling Green, Kentucky. District 4 Cdo Program practices all healthcare services and medical treatments related to Supports Brokerage. The NPI Number for District 4 Cdo Program is 1588702294. The last update date is 2020-08-22.
District 4 Cdo Program's current location address is Po Box 90005, Bowling Green, Kentucky. You can contact this provider via phone number 2707812381 and fax number 2708420768. The mailing address for District 4 Cdo Program is Po Box 90005, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | District 4 Cdo Program |
|---|---|
| Address | Po Box 90005, Bowling Green, Kentucky |
| Phone Number | 2707812381 |
| Fax Number | 2708420768 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM EX |
|---|---|
| Authorized Official Name | Becker Gene Ronald |
| Telephone Number | 2707812381 |
NPI Number Detail
| NPI Number | 1588702294 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 90005 |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421029005 |
| Phone Number | 2707812381 |
| Fax Number | 2708420768 |
Provider's Primary Taxonomy Detail
| Speciality | Supports Brokerage |
|---|---|
| Taxonomy | 251X00000X |
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Definition: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33001389 | KY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to District 4 Cdo Program by the Centers for Medicare & Medicaid Services?
The District 4 Cdo Program has been issued the NPI (National Provider Identifier) 1588702294. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the District 4 Cdo Program located?
The District 4 Cdo Program is located at Po Box 90005, Bowling Green, KY 421029005.
What is District 4 Cdo Program's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for District 4 Cdo Program is Supports Brokerage, and the taxonomy code that categorizes this field of expertise is 251X00000X.
When was the District 4 Cdo Program's 1588702294 issued?
The District 4 Cdo Program's 1588702294 was issued on 2007-02-02.
When was the information related to District 4 Cdo Program most recently updated or refreshed?
The details pertaining to the District 4 Cdo Program, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY