Organization Active NPI

Wedco District Health Department

Doing business as Nicholas County Health Center

  • Public Health or Welfare Agency
  • Carlisle, KY
National Provider Identifier
1073591327
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WEDCO DISTRICT HEALTH DEPARTMENT
Doing business as
Nicholas County Health Center
Practice address
2320 Concrete Rd
Carlisle, KY 40311-9721
Phone
(859) 289-2188
Fax
(859) 289-2203
NPI assigned
Jan 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Crystal Caudill
Title
Public Health Director
Phone
(859) 234-8750

Specialties & licenses 1

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

Addresses

Primary practice location

2320 Concrete Rd
Carlisle, KY 40311-9721

Mailing address

302 Oddville Ave
P O Box 218
Cynthiana, KY 41031-1241
Phone (859) 234-8750

Other identifiers 1

IdentifierTypeStateIssuer
20091013MedicaidKY

Other names 1

  • Nicholas County Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000123 KY Part B Supplier - Mass Immunization (Roster Biller Only) 1355321373 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carlisle, KY; Cynthiana, KY; Georgetown, KY

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073591327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ODDVILLE AVE",
            "address_2": "P O BOX 218",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311241",
            "telephone_number": "859-234-8750",
            "fax_number": "859-234-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 CONCRETE RD",
            "city": "CARLISLE",
            "state": "KY",
            "postal_code": "403119721",
            "telephone_number": "859-289-2188",
            "fax_number": "859-289-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDCO DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "859-234-8750",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20091013",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholas County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlisle, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.