Organization Active NPI

Mercer County Health Department

  • Public Health or Welfare Agency
  • Harrodsburg, KY
National Provider Identifier
1023092350
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
14273 Issued in KY
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, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
15000755OtherKYHANDS PROGRAM
20084018MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000182 KY Part B Supplier - Mass Immunization (Roster Biller Only) 2769420439 Receives reassigned benefits from 1 practitioner
Practice locations: Harrodsburg, KY

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.

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

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.

Verify at the official NPI Registry.