Organization Active NPI

Adair County Hospital District

Doing business as Westlake Family Practice

  • Rural Health Clinic/Center
  • Columbia, KY
National Provider Identifier
1396992970
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ADAIR COUNTY HOSPITAL DISTRICT
Doing business as
Westlake Family Practice
Practice address
902 Westlake Dr
Suite 101
Columbia, KY 42728-1149
Phone
(270) 384-4753
Fax
(270) 385-9123
NPI assigned
Aug 26, 2008
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAIR COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Mr. Neal M. Gold
Title
Ceo
Phone
(270) 384-4753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

902 Westlake Dr
Suite 101
Columbia, KY 42728-1149

Mailing address

902 Westlake Dr
Suite 101
Columbia, KY 42728-1149
Phone (270) 384-4753

Other names 1

  • Westlake Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Westlake Cumberland Hos

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Feb 11, 2016 Change of OwnershipThis provider was the seller T J Health Columbia ClinicCCN 183970, KY, NPI 1235595653

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1396992970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 WESTLAKE DR",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281149",
            "telephone_number": "270-384-4753",
            "fax_number": "270-385-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WESTLAKE DR",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281149",
            "telephone_number": "270-384-4753",
            "fax_number": "270-385-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAIR COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2008-08-26",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-384-4753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.