ADULT IMMUNIZATION MANAGEMENT, LLC (NPI# 1508195041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508195041 |
| Entity Type | Organization |
| Organization Name | ADULT IMMUNIZATION MANAGEMENT, LLC |
| Practice Address |
1010 Allen St Suite 203 Owensboro KY 42303-3025 |
| Mailing Address |
Po Box 1221 Owensboro KY 42302-1221 |
| Practice Telephone | 2706631240 |
| Practice Fax Number | 2702284400 |
| Mailing Telephone | 2706631240 |
| Mailing Fax Number | 2702284400 |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2015-12-02 |
| Authorized Official Name | MR. JERRY CRABTREE (OWNER) |
| Authorized Official Telephone | 2706631240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100123610 | 05 |
| Street Address |
1010 ALLEN ST SUITE 203 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003295783 | Allied Physician Group LLC | Clinic/Center | 2200 E Parrish Ave, Building A, Owensboro, KY 42303-1449 | 2015-05-27 |
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|---|---|---|---|---|
| 1326511494 | Cagneys Clinic Pllc | Clinic/Center | 13000 Greenville Road, Elkton, KY 42220 | 2019-01-10 |
| 1003325879 | Occupational Health Centers of Sw Pa | Clinic/Center | 10401 Linn Station Rd Ste 110, Louisville, KY 40223-3842 | 2017-09-25 |
| 1265955488 | Akme Drug Testing LLC | Clinic/Center | 1701 Central Ave # 213, Ashland, KY 41101-7767 | 2017-07-19 |
| 1619414604 | Hope Health Clinic | Clinic/Center | 1025 Sanibel Way Ste E, La Grange, KY 40031-9156 | 2017-01-27 |
| 1124477559 | Creative Occupational Therapy Solutions | Clinic/Center | 1812 Grand Villa Dr, La Grange, KY 40031-8991 | 2016-06-07 |
| 1548623846 | Frank Harrell Md Pa | Clinic/Center | 312 S 4th St, Suite 700, Louisville, KY 40202-3021 | 2016-04-04 |
| 1538520259 | Romero Rehabilitation Physical Therapy Inc | Clinic/Center | 312 S Fourth Street, Suite 700, Lousville, KY 40202 | 2016-03-08 |
| 1720459282 | Federal Correctional Insitution | Clinic/Center | 805 Fox Hollow Rd, Manchester, KY 40962-7923 | 2015-10-09 |
| 1831572957 | Lori Lee Baker | Clinic/Center | 300 Dogpatch Trading Ctr, London, KY 40741-7282 | 2015-07-07 |
| 1154701761 | The Empire Usa Inc | Clinic/Center | 10300 Linn Station Rd, Suite 400, Louisville, KY 40223-3840 | 2015-06-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.