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District 4 Cdo Program

District 4 Cdo Program is a healthcare organization registered as Supports Brokerage Agency in Bowling Green, KY, holding Type 2 (organization) NPI 1588702294 since 2007. The authorized official on file is Ronald Becker, Interim Executive Director.

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NPI 1588702294
Entity type Organization (Type 2)
Legal business name District 4 Cdo Program
Other name <Unavail>
Practice address 177 GRAHAM AVE, Bowling Green, KY, 42101
Phone 2707812381
Fax 2708420768
Enumeration date 2007-02-02
Last updated in NPPES 2020-08-22

Authorized official

Name Ronald Becker
Title Interim Executive Director
Phone 2707812381

Taxonomy & classification

Taxonomy code Specialty Primary License State
251X00000X Supports Brokerage Agency Primary

Other identifiers

Identifier Type State Issuer
33001389 Medicaid KY
Copy-ready billing details
Provider: District 4 Cdo Program
NPI: 1588702294
Taxonomy: 251X00000X (Supports Brokerage Agency)
Address: 177 GRAHAM AVE, Bowling Green, KY, 42101

Providers at this address

NPI Name Type Specialty Location
1255468617 District 4 Cdo Program Organization Supports Brokerage Agency Bowling Green, KY
1164559522 District 4 Cdo Program Organization Supports Brokerage Agency Bowling Green, KY
1275008930 Barren River Area Development District Organization Supports Brokerage Agency Bowling Green, KY

Verify this record

Cross-check NPI 1588702294 against the authoritative CMS record: view District 4 Cdo Program on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for District 4 Cdo Program?
The NPI for District 4 Cdo Program is 1588702294, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for District 4 Cdo Program?
NPPES lists Ronald Becker (Interim Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.