NPIMap

Organization Active NPI

Green River District Health Dept

  • Public Health or Welfare Agency
  • Henderson, KY
National Provider Identifier
1356313498
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
472 Klutey Park Plaza
Henderson County Health Center
Henderson, KY 42420
Phone
(270) 826-3951
Fax
(270) 826-5527
NPI assigned
Feb 3, 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
Angel Thompson
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

472 Klutey Park Plaza
Henderson County Health Center
Henderson, KY 42420

Mailing address

PO Box 309
Green River District Health Department
Owensboro, KY 42302-0309
Phone (270) 686-7747

Other identifiers 1

IdentifierTypeStateIssuer
20051017MedicaidKY

Other names 1

  • Henderson 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
This NPI is an additional NPI on the enrollment
Practice locations: Hawesville, KY; Owensboro, KY; Morganfield, KY; Henderson, KY; Hartford, KY; Dixon, KY; Calhoun, KY

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

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": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1356313498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "address_2": "GREEN RIVER DISTRICT HEALTH DEPARTMENT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423020309",
            "telephone_number": "270-686-7747",
            "fax_number": "270-926-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 KLUTEY PARK PLAZA",
            "address_2": "HENDERSON COUNTY HEALTH CENTER",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "42420",
            "telephone_number": "270-826-3951",
            "fax_number": "270-826-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "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"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20051017",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.