NPIMap

Organization Active NPI

Green River District Health Dept

  • Public Health or Welfare Agency
  • Owensboro, KY
National Provider Identifier
1295895324
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GREEN RIVER DISTRICT HEALTH DEPT
Practice address
1600 Breckenridge St
Owensboro, KY 42303-1055
Phone
(270) 686-7744
Fax
(270) 926-8677
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Mrs. Angel Thompson, MA
Title
Administrative Services Manager
Phone
(270) 686-7747

Specialties & licenses 1

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

Addresses

Primary practice location

1600 Breckenridge St
Owensboro, KY 42303-1055

Mailing address

PO Box 309
Owensboro, KY 42302-0309
Phone (270) 686-7744

Other identifiers 1

IdentifierTypeStateIssuer
20030011MedicaidKY

Other names 1

  • Daviess County Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000043 KY Part B Supplier - Clinic/Group Practice 5395642458 Receives reassigned benefits from 3 practitioners
6 other NPIs on this enrollment
Practice locations: Hawesville, KY; Owensboro, KY; Morganfield, KY; Henderson, KY; Hartford, KY; Dixon, KY; Calhoun, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Green River District Health16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Green River District Health DeptOwensboro, KY, CCN 187053 Home health agency Other (100%) Jul 1, 1974

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1295895324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423020309",
            "telephone_number": "270-686-7744",
            "fax_number": "270-926-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031055",
            "telephone_number": "270-686-7744",
            "fax_number": "270-926-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES MANAGER",
        "authorized_official_telephone_number": "270-686-7747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20030011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daviess County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.