NPIMap

Organization Active NPI

Lake Cumberland Reg MHMR Board Russell Adh

  • Community/Behavioral Health Agency
  • Somerset, KY
National Provider Identifier
1467589259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAKE CUMBERLAND REG MHMR BOARD RUSSELL ADH
Practice address
259 Parkers Mill Rd
Somerset, KY 42501-3152
Phone
(606) 679-4782
Fax
(606) 678-5296
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jack Lewis
Title
HR Director
Phone
(606) 679-4782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

259 Parkers Mill Rd
Somerset, KY 42501-3152

Mailing address

259 Parkers Mill Rd
Somerset, KY 42501-3152
Phone (606) 679-4782

Other names 1

  • Adanta Group Russell ADH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake Cumberland Regional MHMR Board Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

259 Parkers Mill Rd
Somerset, KY 42501
Phone (606) 679-4782

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467589259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 PARKERS MILL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013152",
            "telephone_number": "606-679-4782",
            "fax_number": "606-678-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 PARKERS MILL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013152",
            "telephone_number": "606-679-4782",
            "fax_number": "606-678-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND REG MHMR BOARD RUSSELL ADH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "606-679-4782"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adanta Group Russell ADH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.