Organization Active NPI

Three Rivers District Health Department

Doing business as Owen County Health Center

  • Public Health or Welfare Agency
  • Owenton, KY
National Provider Identifier
1336108265
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
THREE RIVERS DISTRICT HEALTH DEPARTMENT
Doing business as
Owen County Health Center
Practice address
1005 Hwy 22 E
Owenton, KY 40359-3036
Phone
(502) 484-5736
Fax
(502) 484-5737
NPI assigned
Mar 20, 2006
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

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

Addresses

Primary practice location

1005 Hwy 22 E
Owenton, KY 40359-3036

Mailing address

60 Old Monterey Rd
Owenton, KY 40359-9030
Phone (502) 484-3412

Other identifiers 1

IdentifierTypeStateIssuer
20094017MedicaidKY

Other names 1

  • Owen County Health Center Doing business as

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
18D1093409Three Rivers District Health Department1005 Hwy 22 East, Owenton, KY 40359Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Locations

1005 Highway 22 E
Owenton, KY 40359
Phone (502) 484-2595

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1336108265",
    "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": "1005 HWY 22 E",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403593036",
            "telephone_number": "502-484-5736",
            "fax_number": "502-484-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "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": "20094017",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owen County Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owen County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owenton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.