NORTHEAST KENTUCKY COMMUNITY ACTION AGENCY
NPI 1174813075
Transportation Broker in Olive Hill, KY

Active since April 12, 2011CLIA 18D2165015 · Waiver
539 HITCHINS AVENUE, OLIVE HILL, KY 41164(606) 286-4443(606) 286-6733 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Transportation Broker
  • CLIA Number: 18D2165015
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 04-16-2027

About NORTHEAST KENTUCKY COMMUNITY ACTION AGENCY

This page provides the complete NPI Profile along with additional information for Northeast Kentucky Community Action Agency, a provider established in Olive Hill, Kentucky operating as a Transportation Broker. The healthcare provider is registered in the NPI registry with number 1174813075 assigned on April 2011. The practitioner's primary taxonomy code is 347E00000X with license number 347E00000X (KY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. David Carroll (Director)

NPI
1174813075 Verify this NPI
Provider Name
NORTHEAST KENTUCKY COMMUNITY ACTION AGENCY
Entity Type
Organization
Location Address
539 HITCHINS AVENUE OLIVE HILL, KY 41164
Location Phone
(606) 286-4443
Location Fax
(606) 286-6733
Mailing Address
539 HITCHINS AVENUE OLIVE HILL, KY 41164
Mailing Phone
(606) 286-4443
Mailing Fax
(606) 286-6733
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2011
Last Update Date
04-12-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Transportation Broker

Taxonomy Code
347E00000X
Type
Transportation Services
License No.
347E00000X
License State
KY
Taxonomy Description
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1343900000XTransportation Services

Non-emergency Medical Transport (VAN)

343900000X (KY)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID CARROLL

Authorized Official Title
DIRECTOR
Authorized Official Phone
(606) 286-4443

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2165015
Facility Type
School/Student Health Service
Certificate Effective Date
April 17, 2025
Certificate Expiration Date
April 16, 2027
Laboratory Director
MS. KATHY ERWIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northeast Kentucky Community Action Agency to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NORTHEAST KENTUCKY COMMUNITY ACTION AGENCY

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174813075, enumerated as an "organization" on April 12, 2011.

The provider is located at 539 HITCHINS AVENUE OLIVE HILL, KY 41164 and the phone number is (606) 286-4443.

Transportation Broker with taxonomy code 347E00000X.