District 4 Cdo Program in Bowling Green - Supports Brokerage
District 4 Cdo Program - NPI 1255468617
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 1255468617. 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 | 1255468617 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| 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 |
|---|---|---|---|
| 4399604000 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to District 4 Cdo Program?
The District 4 Cdo Program has been issued the NPI (National Provider Identifier) 1255468617 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where District 4 Cdo Program is physically located?
The District 4 Cdo Program is physically situated at the following address: Po Box 90005, Bowling Green, KY, 421029005.
What is the District 4 Cdo Program's area of specialization and corresponding taxonomy classification?
The District 4 Cdo Program's specialty field is Supports Brokerage, and it falls under the taxonomy code 251X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1255468617 to District 4 Cdo Program?
The Centers for Medicare & Medicaid Services assigned the 1255468617 to District 4 Cdo Program on 2007-02-27.
As of what date was the information pertaining to District 4 Cdo Program, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to District 4 Cdo Program, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1518960137
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