Active NPI
Morrland Healthcare
- Community/Behavioral Health Agency
- Somerset, KY
National Provider Identifier
1588077986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MORRLAND HEALTHCARE
- Doing business as
- Intrust Healthcare
- Practice address
- 401 Bogle St
Suite 102
Somerset, KY 42503-3823 - Phone
- (606) 676-0638
- Fax
- (606) 676-0789
- NPI assigned
- Jun 4, 2014
- 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
- Christy D Vaught
- Title
- Credentialing Specialist
- Phone
- (606) 676-0638
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
401 Bogle St
Suite 102
Somerset, KY 42503-3823
Mailing address
401 Bogle St
Suite 102
Somerset, KY 42503-3823
Phone (606) 676-0638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100282540 | Medicaid | KY |
Other names 1
- Intrust Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- Intrust Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1679986079
Locations
401 Bogle St
Ste 102
Somerset, KY 42503
Phone (606) 676-0638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401840000000",
"number": "1588077986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BOGLE ST",
"address_2": "SUITE 102",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033823",
"telephone_number": "606-676-0638",
"fax_number": "606-676-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BOGLE ST",
"address_2": "SUITE 102",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033823",
"telephone_number": "606-676-0638",
"fax_number": "606-676-0789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRLAND HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A",
"authorized_official_last_name": "VAUGHT",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "606-676-0638"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100282540",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Intrust Healthcare",
"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 Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.