Pennyrile Area Develpoment District in Hopkinsville - Supports Brokerage

Pennyrile Area Develpoment District - NPI 1073650644

Pennyrile Area Develpoment District is a Supports Brokerage in Hopkinsville, Kentucky. Pennyrile Area Develpoment District practices all healthcare services and medical treatments related to Supports Brokerage. The NPI Number for Pennyrile Area Develpoment District is 1073650644. The last update date is 2020-08-22.

Pennyrile Area Develpoment District's current location address is 300 Hammond Dr, Hopkinsville, Kentucky. You can contact this provider via phone number 2708869484. The mailing address for Pennyrile Area Develpoment District is 300 Hammond Dr, Hopkinsville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pennyrile Area Develpoment District
Address 300 Hammond Dr, Hopkinsville, Kentucky
Phone Number 2708869484
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bozarth Dan
Telephone Number 2708869484

NPI Number Detail

NPI Number 1073650644
Provider Enumeration Date 2007-01-31
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 300 Hammond Dr
City Hopkinsville
State Kentucky (KY)
Post Code 422407952
Phone Number 2708869484
Fax Number

Provider's Primary Taxonomy Detail

Speciality Supports Brokerage
Taxonomy 251X00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
43996024 KY HCBW

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FAQs about Pennyrile Area Develpoment District

What is the unique identifier code issued to Pennyrile Area Develpoment District by the Centers for Medicare & Medicaid Services?

The Pennyrile Area Develpoment District has been assigned the NPI (National Provider Identifier) 1073650644. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Pennyrile Area Develpoment District's facilities are situated?

The facilities of Pennyrile Area Develpoment District are physically located at the following address: 300 Hammond Dr, Hopkinsville, KY, 422407952.

What is the area of specialization for Pennyrile Area Develpoment District, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pennyrile Area Develpoment District is Supports Brokerage, and the corresponding taxonomy code that categorizes this area of expertise is 251X00000X.

On what date did the Pennyrile Area Develpoment District receive the assignment of its 1073650644 from the Centers for Medicare & Medicaid Services?

The Pennyrile Area Develpoment District was issued its 1073650644 by the Centers for Medicare & Medicaid Services on 2007-01-31.

When was the information regarding Pennyrile Area Develpoment District most recently updated?

The details pertaining to the Pennyrile Area Develpoment District, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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