NPIMap

Organization Active NPI

Kentucky River District Health Department

  • Public Health or Welfare Agency
  • Busy, KY
National Provider Identifier
1457568446
Registry record updated Dec 6, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
Practice address
625 Big Willard Rd
Busy, KY 41723-8754
Phone
(606) 436-6807
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Karen Cooper
Title
District Director
Phone
(606) 439-2361

Specialties & licenses 1

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

Addresses

Primary practice location

625 Big Willard Rd
Busy, KY 41723-8754

Mailing address

441 Gorman Hollow Rd
Hazard, KY 41701-2315
Phone (606) 439-2361

Other identifiers 1

IdentifierTypeStateIssuer
7100000460MedicaidKY

Other names 1

  • Willard Elementary School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Perry County Health Dep88 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1457568446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 GORMAN HOLLOW RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012315",
            "telephone_number": "606-439-2361",
            "fax_number": "606-439-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BIG WILLARD RD",
            "city": "BUSY",
            "state": "KY",
            "postal_code": "417238754",
            "telephone_number": "606-436-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DISTRICT DIRECTOR",
        "authorized_official_telephone_number": "606-439-2361"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100000460",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willard Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.