Active NPI
Middlesboro Health Department
- Public Health or Welfare Agency
- Middlesboro, KY
National Provider Identifier
1548527773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- MIDDLESBORO HEALTH DEPARTMENT
- Practice address
- 111 N 21St St
Middlesboro, KY 40965-1375 - Phone
- (606) 248-2862
- Fax
- (606) 248-2876
- NPI assigned
- Apr 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Teresa L Hunter
- Title
- Public Health Director
- Phone
- (606) 337-7046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
111 N 21St St
Middlesboro, KY 40965-1375
Mailing address
111 N 21St St
Middlesboro, KY 40965-1375
Phone (606) 248-2862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120706000178 | KY | Part B Supplier - Clinic/Group Practice | 8022273556 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pineville, KY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Public Health or Welfare Agency
- Pineville, KY
- NPI 1619234838
O20120706000178
National Provider Directory
National Provider DirectoryLocations
111 S 21St St
Middlesboro, KY 40601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1407049141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437091200000",
"number": "1548527773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N 21ST ST",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409651375",
"telephone_number": "606-248-2862",
"fax_number": "606-248-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 21ST ST",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409651375",
"telephone_number": "606-248-2862",
"fax_number": "606-248-2876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLESBORO HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-12",
"last_updated": "2015-07-17",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
"authorized_official_telephone_number": "606-337-7046",
"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 Middlesboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.