Purchase District Health Dept

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PURCHASE DISTRICT HEALTH DEPT

Practice address

402 Troy Avenue
Hickman, KY 42050

Phone

(270) 236-2825

Fax

(270) 236-9434

NPI assigned

Jun 26, 2006

Last updated

Apr 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald K. Koster

Title

Director of Public Health

Phone

(270) 444-9625

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Purchase District Health Dept

  • Public Health or Welfare Agency
  • La Center, KY
  • NPI 1013971720

  O20040113000019

  Same enrollment
• Purchase District Health Dept

  • Public Health or Welfare Agency
  • Bardwell, KY
  • NPI 1346277563

  O20040113000019

  Same enrollment
• Purchase District Health Dept

  • Public Health or Welfare Agency
  • Fulton, KY
  • NPI 1427000454

  O20040113000019

  Same enrollment
• Purchase District Health Dept

  • Public Health or Welfare Agency
  • Clinton, KY
  • NPI 1437186657

  O20040113000019

  Same enrollment
• Purchase District Health Dept

  • Public Health or Welfare Agency
  • Paducah, KY
  • NPI 1619904836

  O20040113000019

  Same enrollment

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Annett Jones, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Fredonia, KY
  • NPI 1194716167
  NPD
• Sandy M Burton, RD

  • Registered Dietitian
  • Paducah, KY
  • NPI 1760446488
  NPD (past)
• Amy M Ferguson, RD

  • Registered Dietitian
  • Murray, KY
  • NPI 1679537393
  NPD (past)
• Peggy A Hays, APRN

  • Women's Health Nurse Practitioner
  • Mayfield, KY
  • NPI 1013971639
  NPD (past)
• Elizabeth P Holcomb, ARNP

  • Nurse Practitioner
  • Paducah, KY
  • NPI 1427012137
  NPD (past)
• Dennice Lindsay, A.R.N.P.

  • Nurse Practitioner
  • Paducah, KY
  • NPI 1225111768
  NPD (past)
• Jeanett S Morris, ARNP

  • Nurse Practitioner
  • Paducah, KY
  • NPI 1508820127
  NPD (past)
• Sandra J West, RD

  • Registered Dietitian
  • Mayfield, KY
  • NPI 1023072543
  NPD (past)
• Randel Gibson, DO

  • Family Medicine Physician
  • Pontotoc, MS
  • NPI 1750336335
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1255368478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2357",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42002",
            "telephone_number": "270-444-9625",
            "fax_number": "270-575-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 TROY AVENUE",
            "city": "HICKMAN",
            "state": "KY",
            "postal_code": "42050",
            "telephone_number": "270-236-2825",
            "fax_number": "270-236-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCHASE DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "270-444-9625"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "600000511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FLU0251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20038014",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndsi Knox, RN
• Medcare Inc (MedCare Pharmacy & Home Medical)
• Parkway Regional Medical Clinic, Inc (Hickman-Fulton County Medical Clinic)
• Pinelake Physician Practice LLC (Jackson Purchase Primary Care Hickman Clinic)
• Purchase District Health Department (Fulton County School Clinic)
• Rumfelt Drug Inc
• Brandi L Stacy, APRN

• Public Health or Welfare Agency in Hickman, KY
• Providers in Hickman, KY by specialty
• Public Health or Welfare Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.