Three Rivers District Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

THREE RIVERS DISTRICT HEALTH DEPARTMENT

Doing business as

Carroll County Health Center

Practice address

401 11TH Street
Carrollton, KY 41008

Phone

(502) 732-6641

Fax

(502) 732-8681

NPI assigned

Mar 20, 2006

Last updated

Jul 26, 2023By 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

Mrs. Georgia Heise, DRPH

Title

District Director

Phone

(502) 484-3412

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carroll County Health Center Doing business as

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1326007378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 OLD MONTEREY RD",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403599030",
            "telephone_number": "502-484-3412",
            "fax_number": "502-484-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 11TH STREET",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "41008",
            "telephone_number": "502-732-6641",
            "fax_number": "502-732-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "DISTRICT DIRECTOR",
        "authorized_official_telephone_number": "502-484-3412",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1051444",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20021010",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll County Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carroll County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisa Spegal, RBT
• James Corey Stark, PHARMD.
• Christan Stewart, M.D.
• Sy Dan Nguyen, PSC
• The Mind Pillow Counseling
• Three Rivers District Health Department
• Together in Care LLC
• Triad Health Systems Inc.
• Triad Health Systems, Inc. (Triad Health Systems Pharmacy)
• Kathryn Nicole Trueblood, PHARMD

• Public Health or Welfare Agency in Carrollton, KY
• Providers in Carrollton, 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 Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.