Organization Active NPI

Purchase District Health Dept

  • Public Health or Welfare Agency
  • Paducah, KY
National Provider Identifier
1619904836
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PURCHASE DISTRICT HEALTH DEPT
Practice address
916 Kentucky Avenue
Paducah, KY 42001
Phone
(270) 444-9631
Fax
(270) 442-8769
NPI assigned
Jun 26, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kaitlyn Krolikowski
Title
Public Health Director
Phone
(270) 444-9625

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040113000019 KY Part B Supplier - Clinic/Group Practice 6002716248 Receives reassigned benefits from 2 practitioners
5 other NPIs on this enrollment
Practice locations: Clinton, KY; Paducah, KY; Lacenter, KY; Hickman, KY; Fulton, KY; Bardwell, KY

National Provider Directory

National Provider Directory
Tax ID family
Carlisle Co Elementary School Clinic32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

916 Kentucky Avenue
Paducah, KY 42001

Mailing address

PO Box 2357
Paducah, KY 42002-2357
Phone (270) 444-9625

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
2240OtherPTAN
20073011MedicaidKY
FLU0246OtherMEDICARE
600000516OtherMEDICARE RAILROAD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2025.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1619904836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2357",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420022357",
            "telephone_number": "270-444-9625",
            "fax_number": "270-575-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 KENTUCKY AVENUE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-444-9631",
            "fax_number": "270-442-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCHASE DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "KROLIKOWSKI",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "270-444-9625"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2240",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20073011",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FLU0246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "600000516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.