Pennyrile District Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PENNYRILE DISTRICT HEALTH DEPARTMENT

Doing business as

Lyon County Health Department

Practice address

211 W Fairview Ave.
Eddyville, KY 42038

Phone

(270) 388-9763

Fax

(270) 388-5941

NPI assigned

Mar 23, 2007

Last updated

Jan 29, 2015By 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

Allison L. Beshear

Title

Public Health Director

Phone

(270) 388-9747

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lyon County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pennyrile District Health Department

  dba Caldwell County Health Department

  • Public Health or Welfare Agency
  • Princeton, KY
  • NPI 1588781041

  6002854650

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Philip Gavin, MD

  • General Practice Physician
  • Salem, KY
  • NPI 1669442620
  Medicare reassignment NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1386761435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420380096",
            "telephone_number": "270-388-9763",
            "fax_number": "270-388-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W FAIRVIEW AVE.",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "42038",
            "telephone_number": "270-388-9763",
            "fax_number": "270-388-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYRILE DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "BESHEAR",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "270-388-9747"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15001118",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20072013",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyon County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen B. May, A.P.R.N.
• Lisa Lynn McCoy, ARNP, FNP-BC
• Meghan Kathleen Miller, COTA/L
• Edwin L Nickell
• Orr Medical, LLC (Orr Medical)
• Pennyrile District Health Department (Lyon County High School Clinic)
• Pennyrile District Health Department (Lyon County Elementary School Clinic)
• Pennyrile District Health Department (Lyon County Middle School Clinic)
• Pioneer Rehab LLC
• Melora Jean Potter, PTA

• Public Health or Welfare Agency in Eddyville, KY
• Providers in Eddyville, 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 Jan 29, 2015; 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.