NPIMap

Organization Active NPI

Kentucky River District Health Department

Doing business as Jenkins Middle High School

  • Public Health or Welfare Agency
  • Jenkins, KY
National Provider Identifier
1275711871
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
Doing business as
Jenkins Middle High School
Practice address
269 Hwy 3086
Jenkins, KY 41537
Phone
(606) 832-2184
NPI assigned
Feb 6, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Karen Cooper
Title
District Director
Phone
(606) 439-2361

Specialties & licenses 1

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

Addresses

Primary practice location

269 Hwy 3086
Jenkins, KY 41537

Mailing address

441 Gorman Hollow Rd
Hazard, KY 41701-2315
Phone (606) 439-2361

Other identifiers 1

IdentifierTypeStateIssuer
7100030930MedicaidKY

Other names 1

  • Jenkins Middle High School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275711871. Details of each certification follow.

  • CCN B01000 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN B01000

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
JENKINS MIDDLE HIGH SCHOOL BASED CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 27, 2020
Last certification
Oct 27, 2020
Ownership / control type
For profit – partnership
Facility address
269 Hwy 3086
Jenkins, KY 41537

National Provider Directory

National Provider Directory
Tax ID family
Lee County Health Depar88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

269 Highway 3086
Jenkins, KY 41537
Phone (606) 633-6052

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1275711871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 GORMAN HOLLOW RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012315",
            "telephone_number": "606-439-2361",
            "fax_number": "606-439-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 HWY 3086",
            "city": "JENKINS",
            "state": "KY",
            "postal_code": "41537",
            "telephone_number": "606-832-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DISTRICT DIRECTOR",
        "authorized_official_telephone_number": "606-439-2361"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100030930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenkins Middle High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenkins, KY

Sources for this page

Verify at the official NPI Registry.