Active NPI
Purchase Area Agency on Aging
- Supports Brokerage Agency
- Mayfield, KY
National Provider Identifier
1235305798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- Legal business name
- PURCHASE AREA AGENCY ON AGING
- Practice address
- 1002 Medical Dr
Mayfield, KY 42066-1184 - Phone
- (270) 247-7171
- Fax
- (270) 251-6110
- NPI assigned
- May 5, 2008
- Organization subpart
- Yes
- Parent organization
- PURCHASE AREA AGENCY ON AGING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vicki K. Williams, MPH
- Title
- Aging Services Director
- Phone
- (270) 247-7171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Supports Brokerage Agency | 251X00000X | Primary |
Addresses
Primary practice location
1002 Medical Dr
Mayfield, KY 42066-1184
Mailing address
PO Box 588
1002 Medical Drive
Mayfield, KY 42066-0032
Phone (270) 247-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43996016 | Medicaid | KY |
Other names 1
- Purchase Area Development District
National Provider Directory
National Provider Directory- Tax ID family
- Purchase Area Agency on Aging
- Part of
- Purchase Area Agency on Aging
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Supports Brokerage Agency
- Mayfield, KY
- NPI 1417167651
-
- Supports Brokerage Agency
- Mayfield, KY
- NPI 1750557211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209945600000",
"number": "1235305798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 588",
"address_2": "1002 MEDICAL DRIVE",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420660032",
"telephone_number": "270-247-7171",
"fax_number": "270-251-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 MEDICAL DR",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420661184",
"telephone_number": "270-247-7171",
"fax_number": "270-251-6110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURCHASE AREA AGENCY ON AGING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PURCHASE AREA AGENCY ON AGING",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "AGING SERVICES DIRECTOR",
"authorized_official_telephone_number": "270-247-7171",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43996016",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Purchase Area Development District",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mayfield, KY
- Jackie Ann Plunkett, PT, DPT
- Salena Carol Poat, DMD
- Premier Healthcare
- Primary Care Chiropractic, PSC
- Zeke Colton Prince, DC
- Purchase Area Agency on Aging
- Purchase Area Agency on Aging
- Purchase District Health Department-Hands
- Purchase District Health Dept (Graves County Health Center)
- Purchase Gastroenterology Associates PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.