Organization Active NPI

Kentucky River District Health Dept

Doing business as Big Creek Elementary

  • Public Health or Welfare Agency
  • Avawam, KY
National Provider Identifier
1013124916
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KENTUCKY RIVER DISTRICT HEALTH DEPT
Doing business as
Big Creek Elementary
Practice address
47 Big Creek Road
Avawam, KY 41713
Phone
(606) 436-5632
NPI assigned
May 17, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Karen Cooper
Title
District Director
Phone
(606) 439-2361

Specialties & licenses 1

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

Addresses

Primary practice location

47 Big Creek Road
Avawam, KY 41713

Mailing address

441 Gorman Hollow Rd
Hazard, KY 41701-2315
Phone (606) 439-2361

Other identifiers 1

IdentifierTypeStateIssuer
7100000090MedicaidKY

Other names 1

  • Big Creek Elementary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lee County Health Depar88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1013124916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 GORMAN HOLLOW RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012315",
            "telephone_number": "606-439-2361",
            "fax_number": "606-439-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BIG CREEK ROAD",
            "city": "AVAWAM",
            "state": "KY",
            "postal_code": "41713",
            "telephone_number": "606-436-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY RIVER DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DISTRICT DIRECTOR",
        "authorized_official_telephone_number": "606-439-2361"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100000090",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Creek Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.