Madison County Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MADISON COUNTY HEALTH DEPARTMENT

Doing business as

BEREA HEALTH CLINIC

Practice address

1001 Ace Dr
Berea, KY 40403-1327

Phone

(859) 986-1192

NPI assigned

May 18, 2007

Organization subpart

Yes

Parent organization

MADISON COUNTY HEALTH DEPARTMENTAs reported in NPPES

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

Authorized official

Name

Nancy M Crewe

Title

Director

Phone

(859) 626-4241

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• BEREA HEALTH CLINIC Doing business as

Part of

Madison County Health D

Practitioners 2

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

• Jane M Anderson, RN ARNP CNM

  • Advanced Practice Midwife
  • Richmond, KY
  • NPI 1841387792
  NPD (past)
• Lisa Renee Wheat

  • Registered Dietitian
  • Richmond, KY
  • NPI 1083911317
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1578771978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BOGGS LN",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ACE DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031327",
            "telephone_number": "859-986-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "CREWE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-626-4241"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71000008",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20076014",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20076022",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15900004",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEREA HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Jay Little, PHARMD
• Abigail B. Littrell, PHARM.D.
• Ann G. Losch, D.O.
• Madison County Health Department
• Madison County Health Department
• Madison County Health Department
• Madison County Health Department
• Madison County Health Department
• Madison County Health Department
• Madison County Health Department

• Public Health or Welfare Agency in Berea, KY
• Providers in Berea, KY by specialty
• Public Health or Welfare Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.