NPIMap

Organization Active NPI

Green River District Health Department

Doing business as Wayland Elementary

  • Public Health or Welfare Agency
  • Hartford, KY
National Provider Identifier
1356482608
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GREEN RIVER DISTRICT HEALTH DEPARTMENT
Doing business as
Wayland Elementary
Practice address
1205 Oakwood Drive
Hartford, KY 42347
Phone
(270) 298-9432
Fax
(270) 298-9354
NPI assigned
Feb 9, 2007
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Mrs. Angel Thompson, M.S.M.
Title
Administrative Services Manager
Phone
(270) 686-7747

Specialties & licenses 1

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

Addresses

Primary practice location

1205 Oakwood Drive
Hartford, KY 42347

Mailing address

1205 Oakwood Drive
Hartford, KY 42347
Phone (270) 298-9432

Other identifiers 1

IdentifierTypeStateIssuer
20000048MedicaidKY

Other names 1

  • Wayland Elementary Doing business as

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

Locations

1205 Oakwood Dr
Hartford, KY 42347
Phone (270) 298-9432

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1356482608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 OAKWOOD DRIVE",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "42347",
            "telephone_number": "270-298-9432",
            "fax_number": "270-298-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 OAKWOOD DRIVE",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "42347",
            "telephone_number": "270-298-9432",
            "fax_number": "270-298-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-12-21",
        "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",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.M."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20000048",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayland Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.