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Primetime Intervention

NPI 1205284924ActiveOrganization· Contractor· Jenkins, KY

Contractor in Jenkins, Kentucky, registered in NPPES in June 2016. The authorized official on file is Melena Outlaw, Owner.

Overview

NPI1205284924
StatusActive
Entity typeOrganization
NPI issuedJun 3, 2016
Last updated in NPPESJun 3, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Contractor providers in Jenkins

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