NPIMap

Organization Active NPI

Three Rivers District Health Department

Doing business as Gallatin County Elementary School

  • Public Health or Welfare Agency
  • Warsaw, KY
National Provider Identifier
1104051929
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
THREE RIVERS DISTRICT HEALTH DEPARTMENT
Doing business as
Gallatin County Elementary School
Practice address
25 Boaz Dr
Warsaw, KY 41095-9510
Phone
(502) 484-3412
Fax
(502) 484-0864
NPI assigned
May 22, 2009
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Georgia Heise, DRPH
Title
Director
Phone
(502) 484-3412

Specialties & licenses 1

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

Addresses

Primary practice location

25 Boaz Dr
Warsaw, KY 41095-9510

Mailing address

60 Old Monterey Rd
Owenton, KY 40359-9030
Phone (502) 484-3412

Other identifiers 1

IdentifierTypeStateIssuer
200000113MedicaidKY

Other names 1

  • Gallatin County Elementary School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Three Rivers District Health Department15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

25 Boaz Dr
Warsaw, KY 41095

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1104051929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 OLD MONTEREY RD",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403599030",
            "telephone_number": "502-484-3412",
            "fax_number": "502-484-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOAZ DR",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "410959510",
            "telephone_number": "502-484-3412",
            "fax_number": "502-484-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "502-484-3412",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000113",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gallatin County Elementary School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gallatin County Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warsaw, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.