Organization Active NPI

Harlan County Health Department Inc

  • Public Health or Welfare Agency
  • Harlan, KY
National Provider Identifier
1316382146
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
3004105 Issued in KY
Legal business name
HARLAN COUNTY HEALTH DEPARTMENT INC
Practice address
402 E Clover St
Harlan, KY 40831-2312
Phone
(606) 573-3700
Fax
(606) 573-6128
NPI assigned
May 7, 2013
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Ms. Bobbie V Crider, R.N.
Title
Interim Director
Phone
(606) 573-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 3004105 KY Primary

Addresses

Primary practice location

402 E Clover St
Harlan, KY 40831-2312

Mailing address

402 E Clover St
Harlan, KY 40831-2312
Phone (606) 573-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024000214 KY Part B Supplier - Clinic/Group Practice 7214162411 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Harlan, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2058609Harlan County Health Department Inc402 East Clover Street, Harlan, KY 40831Provider-performed microscopyMay 8, 2027

National Provider Directory

National Provider Directory

Locations

1520 E Main St
Cumberland, KY 40823
Phone (606) 589-2135

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1316382146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E CLOVER ST",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312312",
            "telephone_number": "606-573-3700",
            "fax_number": "606-573-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E CLOVER ST",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312312",
            "telephone_number": "606-573-3700",
            "fax_number": "606-573-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLAN COUNTY HEALTH DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "CRIDER",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "606-573-3700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": "3004105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.