NPIMap

Organization Active NPI

Western Ky Regional MHMR Board, Inc.

Doing business as Four Rivers Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paducah, KY
National Provider Identifier
1235316852
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
810061 Issued in KY
Legal business name
WESTERN KY REGIONAL MHMR BOARD, INC.
Doing business as
Four Rivers Behavioral Health
Practice address
425 Broadway St
Suite 201
Paducah, KY 42001-0713
Phone
(270) 442-4121
Fax
(270) 443-9692
NPI assigned
Jan 25, 2008
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Mrs. Allison Ogden
Title
Cfo
Phone
(270) 442-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 810061 KY Primary

Addresses

Primary practice location

425 Broadway St
Suite 201
Paducah, KY 42001-0713

Mailing address

425 Broadway St
Suite 201
Paducah, KY 42001-0713
Phone (270) 442-4121

Other identifiers 1

IdentifierTypeStateIssuer
27001015MedicaidKY

Other names 1

  • Four Rivers Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Ky Reg MH Mr BRD8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1235316852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROADWAY ST",
            "address_2": "SUITE 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010713",
            "telephone_number": "270-442-4121",
            "fax_number": "270-443-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BROADWAY ST",
            "address_2": "SUITE 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010713",
            "telephone_number": "270-442-4121",
            "fax_number": "270-443-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KY REGIONAL MHMR BOARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-442-7121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KY",
            "license": "810061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27001015",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Rivers Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Four Rivers Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.