Organization Active NPI

Purchase District Health Dept

  • Public Health or Welfare Agency
  • La Center, KY
National Provider Identifier
1013971720
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PURCHASE DISTRICT HEALTH DEPT
Practice address
198 Bluegrass Dr
Ballard County Health Center
Lacenter, KY 42056
Phone
(270) 665-5432
Fax
(270) 665-9166
NPI assigned
Apr 12, 2006
Last updated
Apr 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Ronald K. Koster
Title
Director of Public Health
Phone
(270) 444-9625

Specialties & licenses 1

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

Addresses

Primary practice location

198 Bluegrass Dr
Ballard County Health Center
Lacenter, KY 42056

Mailing address

PO Box 2357
Paducah, KY 42002
Phone (270) 444-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040113000019 KY Part B Supplier - Clinic/Group Practice 6002716248 Receives reassigned benefits from 2 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clinton, KY; Paducah, KY; Lacenter, KY; Hickman, KY; Fulton, KY; Bardwell, KY

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hickman County Health C32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1013971720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2357",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42002",
            "telephone_number": "270-444-9625",
            "fax_number": "270-575-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 BLUEGRASS DR",
            "address_2": "BALLARD COUNTY HEALTH CENTER",
            "city": "LACENTER",
            "state": "KY",
            "postal_code": "42056",
            "telephone_number": "270-665-5432",
            "fax_number": "270-665-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCHASE DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "270-444-9625"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Center, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.