# ACK HEALTHCARE MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Saint Camillus Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154748986
- **Authorized official:** CHARLES YOUNG (OWNER/MEMBER)
- **Authorized official phone:** (812) 489-0862

## Contact information

- **Practice address:** 1520 4TH ST, LEWISPORT, KY 42351
- **Practice address phone:** (270) 295-3890
- **Practice address fax:** (270) 295-3891
- **Mailing address:** PO BOX 1099, OWENSBORO, KY 42302-1099
- **Mailing address phone:** (502) 277-5170
- **Mailing address fax:** (502) 277-5172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2014
- **Last updated:** 08/29/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 18D2054463 | CLIA | KY |
| 05 | — | 7100295770 | — | KY |