NPIMap

Organization Active NPI

Magoffin South Clinic

  • Public Health or Welfare Agency
  • Gunlock, KY
National Provider Identifier
1366626566
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MAGOFFIN SOUTH CLINIC
Practice address
HC 88 Box 180
Gunlock, KY 41632-9701
Phone
(606) 349-8242
Fax
(606) 884-5000
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MAGOFFIN COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Mrs. Bertie Kaye Salyer
Title
Public Health Director
Phone
(606) 349-6212

Specialties & licenses 1

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

Addresses

Primary practice location

HC 88 Box 180
Gunlock, KY 41632-9701

Mailing address

723 Parkway Dr
Salyersville, KY 41465-9740
Phone (606) 349-6212

Other identifiers 2

IdentifierTypeStateIssuer
000000059385OtherKYBLUE CROSS BLUE SHIELD
15000722OtherKYHANDS

National Provider Directory

National Provider Directory
Tax ID family
Magoffin South Clinic12 organizations share this tax ID, including this one
Part of
Magoffin South Clinic

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1366626566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 PARKWAY DR",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414659740",
            "telephone_number": "606-349-6212",
            "fax_number": "606-349-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 88 BOX 180",
            "city": "GUNLOCK",
            "state": "KY",
            "postal_code": "416329701",
            "telephone_number": "606-349-8242",
            "fax_number": "606-884-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGOFFIN SOUTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGOFFIN COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "SALYER",
        "authorized_official_first_name": "BERTIE",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "606-349-6212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000059385",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HANDS",
            "identifier": "15000722",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunlock, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.