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Green River District Health Department

Organization Active NPI Public Health or Welfare Agency · Morganfield, KY

NPI 1609108604 · NPPES record last updated Feb 2, 2010

Key facts

NPI
1609108604
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
GREEN RIVER DISTRICT HEALTH DEPARTMENT
Practice address
511 S Mart St
Morganfield, KY 42437-1723
Phone
(270) 389-2611
Fax
(270) 389-2994
NPI assigned
Feb 2, 2010
Organization subpart
No

Authorized official

Name
Mrs. Angel Thompson, M.S.M.
Title
Admin Services Manager
Phone
(270) 686-7747

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
West Liberty Elementary (126 organizations share this tax ID)

Locations

511 S Mart St
Morganfield, KY 42437
Phone (270) 389-2611

Specialties & licenses

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

Addresses

Primary practice location

511 S Mart St
Morganfield, KY 42437-1723

Mailing address

1501 Breckenridge St
PO Box 309
Owensboro, KY 42303-1054
Phone (270) 686-7747

Other identifiers

IdentifierTypeStateIssuer
PENDINGMedicaidKY

Other names

  • Morganfield Elementary School Health Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2010.

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1609108604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BRECKENRIDGE ST",
            "address_2": "PO BOX 309",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031054",
            "telephone_number": "270-686-7747",
            "fax_number": "270-926-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S MART ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371723",
            "telephone_number": "270-389-2611",
            "fax_number": "270-389-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "ADMIN SERVICES MANAGER",
        "authorized_official_telephone_number": "270-686-7747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.M."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morganfield Elementary School Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganfield, KY

All providers in Morganfield, KY · Public Health or Welfare Agency in Kentucky

Sources for this page

Verify at the official NPI Registry.