Basic Information
| Provider Information | |||||||||
| NPI: | 1114125671 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACUTE CARE BILLING KY, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1609 N ANKENY BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | ANKENY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 500234165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5159642772 | ||||||||
| FaxNumber: | 5159634381 | ||||||||
| Practice Location | |||||||||
| Address1: | 330 ROLAND AVE | ||||||||
| Address2: | |||||||||
| City: | OWENTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403591502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5024843663 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | FROST | ||||||||
| AuthorizedOfficialFirstName: | LORI | ||||||||
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| AuthorizedOfficialTitleorPosition: | ASSISTANT VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5159642772 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PE0004X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine | Emergency Medical Services |
No ID Information.