Organization Active NPI

Gateway District Health Department

  • State or Local Public Health Clinic/Center
  • Owingsville, KY
National Provider Identifier
1114059029
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
GATEWAY DISTRICT HEALTH DEPARTMENT
Practice address
68 Oberline Street
Owingsville, KY 40360
Phone
(606) 674-2731
Fax
(606) 674-9646
NPI assigned
Mar 9, 2007
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Mr. Gregory D Brewer
Title
Director of Administrative Services
Phone
(606) 674-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X KY Primary

Addresses

Primary practice location

68 Oberline Street
Owingsville, KY 40360

Mailing address

PO Box 555
Owingsville, KY 40360
Phone (606) 674-6396

Other identifiers 7

IdentifierTypeStateIssuer
1255326104OtherKYJUDY LEE, ARNP
1811246143OtherKYJESSICA LYKINS, APRN
20006011MedicaidKY
1023051208OtherKYCINDY CRAGER, ARNP
1376742932OtherKYWENDY LYKINS, ARNP
1588668339OtherKYDR. ESKEW
1558561910OtherKYSANDRA ELLINGTON, MS,RD

Other names 1

  • Bath County Health Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1114059029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "40360",
            "telephone_number": "606-674-6396",
            "fax_number": "606-674-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 OBERLINE STREET",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "40360",
            "telephone_number": "606-674-2731",
            "fax_number": "606-674-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "606-674-6396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUDY LEE, ARNP",
            "identifier": "1255326104",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JESSICA LYKINS, APRN",
            "identifier": "1811246143",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20006011",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CINDY CRAGER, ARNP",
            "identifier": "1023051208",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WENDY LYKINS, ARNP",
            "identifier": "1376742932",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ESKEW",
            "identifier": "1588668339",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDRA ELLINGTON, MS,RD",
            "identifier": "1558561910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bath County Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owingsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.