NPIMap

Organization Active NPI

Northern Kentucky Independent District Health Department

  • Public Health or Welfare Agency
  • Covington, KY
National Provider Identifier
1609072107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NORTHERN KENTUCKY INDEPENDENT DISTRICT HEALTH DEPARTMENT
Practice address
2388 Grandview Ave
Covington, KY 41017-1633
Phone
(859) 578-7660
Fax
(859) 578-7665
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George A Moore II
Title
Interim District Director of Health
Phone
(859) 363-2059

Specialties & licenses 1

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

Addresses

Primary practice location

2388 Grandview Ave
Covington, KY 41017-1633

Mailing address

610 Medical Village Dr
Edgewood, KY 41017-3416
Phone (859) 341-4264

Other identifiers 1

IdentifierTypeStateIssuer
61901294MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Northern Kentucky Independent District Health Department22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

2388 Grandview Dr
Covington, KY 41017
Phone (859) 578-7660

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609072107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173416",
            "telephone_number": "859-341-4264",
            "fax_number": "859-578-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2388 GRANDVIEW AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410171633",
            "telephone_number": "859-578-7660",
            "fax_number": "859-578-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY INDEPENDENT DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INTERIM DISTRICT DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "859-363-2059",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61901294",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.