NPIMap

Organization Active NPI

Lewis County Health Dept

  • Public Health or Welfare Agency
  • Vanceburg, KY
National Provider Identifier
1295952604
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LEWIS COUNTY HEALTH DEPT
Practice address
185 Commercial Drive
Lewis County Health Department
Vanceburg, KY 41179
Phone
(606) 796-2632
Fax
(606) 796-9285
NPI assigned
Apr 19, 2007
Reactivated
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Ms. Pamela Su Elliott-Ferrell, MSW, CSW
Title
Finance Adminstrator
Phone
(606) 796-2632

Specialties & licenses 1

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

Addresses

Primary practice location

185 Commercial Drive
Lewis County Health Department
Vanceburg, KY 41179

Mailing address

PO Box 219
Lewis County Health Department
Vanceburg, KY 41179
Phone (606) 796-2632

Other identifiers 1

IdentifierTypeStateIssuer
20068011MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000404 KY Part B Supplier - Mass Immunization (Roster Biller Only) 8628016318 Practice locations: Vanceburg, KY

National Provider Directory

National Provider Directory
Tax ID family
Lewis County Health Dept7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1295952604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "address_2": "LEWIS COUNTY HEALTH DEPARTMENT",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "41179",
            "telephone_number": "606-796-2632",
            "fax_number": "606-796-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 COMMERCIAL DRIVE",
            "address_2": "LEWIS COUNTY HEALTH DEPARTMENT",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "41179",
            "telephone_number": "606-796-2632",
            "fax_number": "606-796-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-05-18",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT-FERRELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SU",
        "authorized_official_title_or_position": "FINANCE ADMINSTRATOR",
        "authorized_official_telephone_number": "606-796-2632",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, CSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20068011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vanceburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.