NPIMap

Organization Active NPI

Lake Cumberland District Health Department

  • Public Health or Welfare Agency
  • Liberty, KY
National Provider Identifier
1497890545
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT
Practice address
199 Adams Street
Liberty, KY 42539
Phone
(606) 787-6911
Fax
(606) 787-2507
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Mr. Shawn D. Crabtree
Title
Executive Director
Phone
(606) 678-4761

Specialties & licenses 1

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

Addresses

Primary practice location

199 Adams Street
Liberty, KY 42539

Mailing address

500 Bourne Ave
Somerset, KY 42501-1916
Phone (606) 678-4761

Other identifiers 17

IdentifierTypeStateIssuer
600000713OtherKYRR MEDICARE
000000047568OtherKYBC/BS PROVIDER NUMBER
1760469134OtherKYNPI RENDERING PROVIDER
1770560716OtherKYNPI RENDERING PROVIDER
20023016MedicaidKY
0300502OtherKYMEDICARE PROVIDER
1265410393OtherKYNPI RENDERING PROVIDER
1588825335OtherKYNPI RENDERING PROVIDER
1316135783OtherKYNPI RENDERING PROVIDER
1780687798OtherKYNPI RENDERING PROVIDER
1073590436OtherKYNPI RENDERING PROVIDER
1437271244OtherKYNPI RENDERING PROVIDER
1568449445OtherKYNPI RENDERING PROVIDER
1427035872OtherKYNPI RENDERING PROVIDER
15001316OtherKYHANDS MEDICAID
1629055082OtherKYNPI RENDERING PROVIDER
50003866OtherKYPASSPORT MEDICAID

Other names 1

  • Casey County Health Dept. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000041 KY Part B Supplier - Clinic/Group Practice 4880587138 Receives reassigned benefits from 1 practitioner
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, KY; Whitley City, KY; Somerset, KY; Monticello, KY; Liberty, KY; Jamestown, KY; Greensburg, KY; Columbia, KY…

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Lake Cumberland Dist HL79 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

Locations

45 Roberts St
Somerset, KY 42501
Phone (606) 679-4416

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1497890545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOURNE AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011916",
            "telephone_number": "606-678-4761",
            "fax_number": "606-676-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 ADAMS STREET",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "42539",
            "telephone_number": "606-787-6911",
            "fax_number": "606-787-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "606-678-4761",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "600000713",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "000000047568",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1760469134",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1770560716",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20023016",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "0300502",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1265410393",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1588825335",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1316135783",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1780687798",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1073590436",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1437271244",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1568449445",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1427035872",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HANDS MEDICAID",
            "identifier": "15001316",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RENDERING PROVIDER",
            "identifier": "1629055082",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID",
            "identifier": "50003866",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casey County Health Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.