NPIMap

Organization Active NPI

Adair County Hospital District

Doing business as Westlake Primary Care NP Group

  • Primary Care Nurse Practitioner
  • Columbia, KY
National Provider Identifier
1154591212
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ADAIR COUNTY HOSPITAL DISTRICT
Doing business as
Westlake Primary Care NP Group
Practice address
810 Jamestown St
Columbia, KY 42728-1010
Phone
(270) 384-4764
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTLAKE PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mr. Rex A Tungate, CEO
Title
Ceo
Phone
(270) 384-4753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X KY Primary

Addresses

Primary practice location

810 Jamestown St
Columbia, KY 42728-1010

Mailing address

810 Jamestown St
Columbia, KY 42728-1010
Phone (270) 384-4753

Other identifiers 1

IdentifierTypeStateIssuer
78902186MedicaidKY

Other names 1

  • WESTLAKE PRIMARY CARE NP GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Westlake Cumberland Hos13 organizations share this tax ID, including this one
Part of
Westlake Cumberland Hos

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1154591212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 JAMESTOWN ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281010",
            "telephone_number": "270-384-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JAMESTOWN ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281010",
            "telephone_number": "270-384-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTLAKE PRIMARY CARE",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "TUNGATE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-384-4753",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78902186",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTLAKE PRIMARY CARE NP GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.