Active NPI
Mercer County Health Department
- Public Health or Welfare Agency
- Harrodsburg, KY
National Provider Identifier
1023092350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 14273
- Legal business name
- MERCER COUNTY HEALTH DEPARTMENT
- Practice address
- 900 N College St
Harrodsburg, KY 40330-1089 - Phone
- (859) 734-2229
- Fax
- (859) 734-2229
- NPI assigned
- Nov 30, 2005
- Last updated
- Apr 5, 2012
- Organization subpart
- Yes
- Parent organization
- DEPARTMENT OF PUBLIC HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stacy C Blacketer
- Title
- Admin Specialist
- Phone
- (859) 734-2229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 14273 | KY | Primary |
Addresses
Primary practice location
900 N College St
Harrodsburg, KY 40330-1089
Mailing address
900 N College St
Harrodsburg, KY 40330-1089
Phone (859) 734-2229
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15000755 | Other | KY | HANDS PROGRAM |
| 20084018 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Morgan Co High School
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.
-
- Family Nurse Practitioner
- Harrodsburg, KY
- NPI 1932941515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333584000000",
"number": "1023092350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N COLLEGE ST",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403301089",
"telephone_number": "859-734-2229",
"fax_number": "859-734-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N COLLEGE ST",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403301089",
"telephone_number": "859-734-2229",
"fax_number": "859-734-2229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCER COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEPARTMENT OF PUBLIC HEALTH",
"enumeration_date": "2005-11-30",
"last_updated": "2012-04-05",
"status": "A",
"authorized_official_last_name": "BLACKETER",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMIN SPECIALIST",
"authorized_official_telephone_number": "859-734-2229",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "KY",
"license": "14273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HANDS PROGRAM",
"identifier": "15000755",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20084018",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrodsburg, KY
- Alicia D McGee
- Carol A McQueen, CSW
- Mercer Chiropractic Center, Inc.
- Mercer County Board of Education
- Mercer County Emergency Medical Services, Inc,
- Mercer County Health Department
- Mercer Medical Associates PSC
- Mercer Pediatrics PSC (Haggin Primary Care Clinic)
- Arthur F Miller III
- MLD Eyecare (Matthew Dugger Eyecare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.