NPIMap

Organization Active NPI

Whitley County Health Deptartment

  • Public Health or Welfare Agency
  • Corbin, KY
National Provider Identifier
1154528537
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WHITLEY COUNTY HEALTH DEPTARTMENT
Practice address
3750 Falls Hwy.
Corbin, KY 40701
Phone
(606) 528-5613
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Ms. Cheryl L Parks
Title
Account Clerk III
Phone
(606) 549-3380

Specialties & licenses 1

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

Addresses

Primary practice location

3750 Falls Hwy.
Corbin, KY 40701

Mailing address

PO Box 1221
Corbin, KY 40702-1221
Phone (606) 528-5613

Other identifiers 3

IdentifierTypeStateIssuer
20118022MedicaidKY
8249OtherKYP10
0894OtherKYMEDICARE GROUP NUMBER

Other names 1

  • WHITLEY COUNTY HEALTH DEPTARTMENT CORBIN OFFICE Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060531000141 KY Part B Supplier - Mass Immunization (Roster Biller Only) 4688666449 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Williamsburg, KY

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Lincoln County Health D17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

368 Penny Ln
Williamsburg, KY 40769
Phone (606) 549-3380

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1154528537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1221",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021221",
            "telephone_number": "606-528-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 FALLS HWY.",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-528-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITLEY COUNTY HEALTH DEPTARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNT CLERK III",
        "authorized_official_telephone_number": "606-549-3380",
        "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": "20118022",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P10",
            "identifier": "8249",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0894",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITLEY COUNTY HEALTH DEPTARTMENT CORBIN OFFICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.