Organization Active NPI

Middlesboro Health Department

  • Public Health or Welfare Agency
  • Middlesboro, KY
National Provider Identifier
1548527773
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Jul 17, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.