Organization Active NPI

Purchase Area Agency on Aging

  • Supports Brokerage Agency
  • Mayfield, KY
National Provider Identifier
1235305798
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
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 AGINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43996016MedicaidKY

Other names 1

  • Purchase Area Development District Other name

National Provider Directory

National Provider Directory
Tax ID family
Purchase Area Agency on Aging3 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.