NPIMap

Organization Active NPI

Three Rivers District Health Department

  • Public Health or Welfare Agency
  • Owenton, KY
National Provider Identifier
1114387438
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
Practice address
60 Old Monterey Rd
Owenton, KY 40359-9030
Phone
(502) 484-3412
NPI assigned
Feb 29, 2016
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
Michelle Wilburn
Title
Informatics Manager
Phone
(502) 484-3412

Specialties & licenses 1

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

Addresses

Primary practice location

60 Old Monterey Rd
Owenton, KY 40359-9030

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
20096012MedicaidKY
20094017MedicaidKY
20021010MedicaidKY
20039012MedicaidKY

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

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1114387438",
    "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": "60 OLD MONTEREY RD",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403599030",
            "telephone_number": "502-484-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "WILBURN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "INFORMATICS MANAGER",
        "authorized_official_telephone_number": "502-484-3412"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20096012",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20094017",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20021010",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20039012",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owenton, 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.