Active NPI
Adair County Hospital District
Doing business as Westlake Family Practice
- Rural Health Clinic/Center
- Columbia, KY
National Provider Identifier
1396992970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2015
- Organization subpart
- Yes
- Parent organization
- ADAIR COUNTY HOSPITAL DISTRICT
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Date | Event | Counterparty |
|---|---|---|
| Feb 11, 2016 | Change of Ownership | T J Health Columbia Clinic |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba T J Health Columbia Clinic
- Rural Health Clinic/Center
- Columbia, KY
- NPI 1235595653
Sold to, 2016-02-11
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.
-
- Obstetrics & Gynecology Physician
- Louisville, KY
- NPI 1225240682
-
- Family Nurse Practitioner
- Columbia, KY
- NPI 1902876287
-
- Family Nurse Practitioner
- Russell Springs, KY
- NPI 1851798755
-
- Psychiatric/Mental Health Nurse Practitioner
- Bowling Green, KY
- NPI 1346623303
-
- Family Nurse Practitioner
- Russell Springs, KY
- NPI 1750698734
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
- Adair County Hospital District (Westlake Primary Care NP Group)
- Adair County Hospital District (Westlake Regional Hospital Reference Lab)
- Adair County Hospital District (Westlake Home Health EPSDT)
- Adair County Hospital District (Nurse Practitioner Group)
- Adair County Hospital District (Westlake Regional Hospital Behavioral Health Unit)
- Adair County Hospital District (Westlake Regional Hospital)
- Adair County Hospital District (Westlake Primary Care)
- Adair County Hospital District
- Adair County Hospital Group (Westlake Primary Care Physician Group)
- Adair Drug LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.