NPIMap

Organization Active NPI

Lawrence County Health Department

  • Public Health or Welfare Agency
  • Louisa, KY
National Provider Identifier
1225008964
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LAWRENCE COUNTY HEALTH DEPARTMENT
Practice address
1080 Meadowbrook LN
Louisa, KY 41230-9657
Phone
(606) 638-4389
Fax
(606) 638-3008
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Debra A Miller
Title
Public Health Director
Phone
(606) 638-4389

Specialties & licenses 1

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

Addresses

Primary practice location

1080 Meadowbrook LN
Louisa, KY 41230-9657

Mailing address

1080 Meadowbrook LN
Louisa, KY 41230-9657
Phone (606) 638-4389

Other identifiers 3

IdentifierTypeStateIssuer
15001365MedicaidKY
20000832MedicaidKY
P00041005OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000431 KY Part B Supplier - Mass Immunization (Roster Biller Only) 3173509262 Practice locations: Louisa, KY

National Provider Directory

National Provider Directory
Tax ID family
Lawrence Co Health Dept9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1080 Meadowbrook Ln
Louisa, KY 41230
Phone (606) 638-4389

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1225008964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MEADOWBROOK LN",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309657",
            "telephone_number": "606-638-4389",
            "fax_number": "606-638-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 MEADOWBROOK LN",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309657",
            "telephone_number": "606-638-4389",
            "fax_number": "606-638-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "606-638-4389"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15001365",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20000832",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00041005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.