Healthcare Provider Details
I. General information
NPI: 1881128635
Provider Name (Legal Business Name): AP CASE MANAGEMENT LINK
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2017
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 SPRING BANK DR BUILDING C SUITE 13
OWENSBORO KY
42303
US
IV. Provider business mailing address
1401 SPRING BANK DR BUILDING C SUITE 13
OWENSBORO KY
42303
US
V. Phone/Fax
- Phone: 270-344-1814
- Fax: 270-684-9794
- Phone: 270-344-1814
- Fax: 270-684-9794
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMBER
PAYNE
Title or Position: OWNER
Credential: CSW
Phone: 270-925-1383