NPIMap

Organization Active NPI

Pennyrile District Lhealth Department

Doing business as Caldwell Co Tiger Pride Clinic

  • Public Health or Welfare Agency
  • Princeton, KY
National Provider Identifier
1457512311
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PENNYRILE DISTRICT LHEALTH DEPARTMENT
Doing business as
Caldwell Co Tiger Pride Clinic
Practice address
1000 Marion Rd
Princeton, KY 42445-6210
Phone
(270) 388-9747
Fax
(270) 388-7749
NPI assigned
Jun 23, 2008
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Mrs. Allison L Beshear
Title
Public Health Director
Phone
(270) 388-9747

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Marion Rd
Princeton, KY 42445-6210

Mailing address

PO Box 770
Eddyville, KY 42038-0770
Phone (270) 388-9747

Other identifiers 1

IdentifierTypeStateIssuer
7100044740MedicaidKY

Other names 1

  • Caldwell Co Tiger Pride Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crittenden Co Health de20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

1000 Marion Rd
Princeton, KY 42445

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1457512311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420380770",
            "telephone_number": "270-388-9747",
            "fax_number": "270-388-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MARION RD",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456210",
            "telephone_number": "270-388-9747",
            "fax_number": "270-388-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYRILE DISTRICT LHEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2014-04-14",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100044740",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell Co Tiger Pride Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.