NPIMap

Organization Active NPI

North Central District Health Department

Doing business as Shelby West Middle Satellite Clinic

  • Public Health or Welfare Agency
  • Shelbyville, KY
National Provider Identifier
1073061644
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
Doing business as
Shelby West Middle Satellite Clinic
Practice address
100 Warriors Way
Shelbyville, KY 40065-8057
Phone
(502) 633-4869
NPI assigned
Sep 13, 2016
Last updated
Sep 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
David Cammack
Title
Interim Public Health Director
Phone
(502) 633-1243

Specialties & licenses 1

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

Addresses

Primary practice location

100 Warriors Way
Shelbyville, KY 40065-8057

Mailing address

1020 Henry Clay St
Shelbyville, KY 40065-1335
Phone (502) 633-1243

Other names 1

  • Shelby West Middle Satellite Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Central District Health Dept9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

100 Warriors Way
Shelbyville, KY 40065
Phone (502) 633-4869

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1073061644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 HENRY CLAY ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651335",
            "telephone_number": "502-633-1243",
            "fax_number": "502-633-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARRIORS WAY",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658057",
            "telephone_number": "502-633-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "CAMMACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "INTERIM PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "502-633-1243"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby West Middle Satellite Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.