NPIMap

Organization Active NPI

Lincoln Trail District Health Department

  • Public Health or Welfare Agency
  • Elizabethtown, KY
National Provider Identifier
1407034713
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT
Practice address
108 New Glendale Rd
Elizabethtown, KY 42701
Phone
(270) 769-1601
NPI assigned
Feb 8, 2008
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Mrs. Sara Jo Best
Title
Director
Phone
(270) 769-1601

Specialties & licenses 1

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

Addresses

Primary practice location

108 New Glendale Rd
Elizabethtown, KY 42701

Mailing address

108 New Glendale Rd
Elizabethtown, KY 42701-1023
Phone (270) 769-1601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230810001271 KY Part B Supplier - Mass Immunization (Roster Biller Only) 5092612069 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elizabethtown, KY; Springfield, KY; Lebanon, KY; Hodgenville, KY; Brandenburg, KY; Bardstown, KY

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1407034713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NEW GLENDALE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011023",
            "telephone_number": "270-769-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NEW GLENDALE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-769-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-769-1601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.