NPIMap

Organization Active NPI

Lewis County Health Department

  • Public Health or Welfare Agency
  • Vanceburg, KY
National Provider Identifier
1003142449
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LEWIS COUNTY HEALTH DEPARTMENT
Practice address
86 Walter St
Vanceburg, KY 41179-5445
Phone
(606) 796-2632
Fax
(606) 796-9285
NPI assigned
Oct 20, 2009
Organization subpart
Yes
Parent organization
LEWIS COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Anita Jo Bertram, L.S.W., L.N.H.A
Title
Public Health Director
Phone
(606) 796-2632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

86 Walter St
Vanceburg, KY 41179-5445

Mailing address

PO Box 219
185 Commerical Drive
Vanceburg, KY 41179-0219
Phone (606) 796-2632

Other identifiers 2

IdentifierTypeStateIssuer
20068011MedicaidKY
FLU0254OtherKYMEDICARE ID-TYPE UNSPECIFIED

Other names 1

  • Lewis County Central Elementary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewis County Health Dept7 organizations share this tax ID, including this one
Part of
Lewis County Health Dept

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

86 Walter St
Vanceburg, KY 41179
Phone (606) 796-2632

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1003142449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "address_2": "185 COMMERICAL DRIVE",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790219",
            "telephone_number": "606-796-2632",
            "fax_number": "606-796-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 WALTER ST",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411795445",
            "telephone_number": "606-796-2632",
            "fax_number": "606-796-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWIS COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "606-796-2632",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.S.W., L.N.H.A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20068011",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "FLU0254",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis County Central Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vanceburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.