Lake Cumberland District Health Department
Organization Active NPI Public Health or Welfare Agency · Burkesville, KY
NPI 1629112461 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1629112461
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT
- Practice address
- 226 Copper LN
Burkesville, KY 42717-9678 - Phone
- (270) 864-2206
- Fax
- (270) 864-1232
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Shawn D. Crabtree
- Title
- Executive Director
- Phone
- (606) 678-4761
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 24
Practitioners 13
-
Pamela Jean Acey, MD RD LD
-
Vicky Albertson, RN, CDCES
-
Mary A Cheatham, RD
-
Jennifer Darlene Dixon, RN, CDCES
-
Sheila Megan Harlan, CNM
-
Amy Huff, RN, BSN
-
Janice F Keith, FNP
-
Sheila Gail Lobb, ARNP
-
Kennetha Michelle McGuire, MS RD LD
-
Allison Gayle Phillips, APRN
-
Pearl Price, CN
-
Amber Nicole Ritterbach, CCHW, DCCC
-
Rebecca J Whitis, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040203000041 | KY | Part B Supplier - Clinic/Group Practice | 4880587138 |
Receives reassigned benefits from 1 practitioner 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Albany, KY; Whitley City, KY; Somerset, KY; Monticello, KY; Liberty, KY; Jamestown, KY; Greensburg, KY; Columbia, KY… |
National Provider Directory
- Tax ID family
- Lake Cumberland Dist HL
Locations
131 Foothills Ave
Albany, KY 42602
Phone (606) 387-5711
226 Copper Ln
Burkesville, KY 42717
Phone (270) 864-2206
69 Herrifords Cir
Jamestown, KY 42629
Phone (270) 343-2181
650 Whipp Ave
Liberty, KY 42539
Phone (606) 787-5222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
226 Copper LN
Burkesville, KY 42717-9678
Mailing address
500 Bourne Ave
Somerset, KY 42501-1916
Phone (606) 678-4761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437271244 | Other | KY | NPI RENDERING PROVIDER |
| 1588825335 | Other | KY | NPI RENDERING PROVIDER |
| 1770560716 | Other | KY | NPI RENDERING PROVIDER |
| 600000715 | Other | KY | RR MEDICARE |
| 20029013 | Medicaid | KY | |
| 50003866 | Other | KY | PASSPORT MEDICAID |
| 1316135783 | Other | KY | NPI RENDERING PROVIDER |
| 1427035872 | Other | KY | NPI RENDERING PROVIDER |
| 1629055082 | Other | KY | NPI RENDERING PROVIDER |
| 1760469134 | Other | KY | NPI RENDERING PROVIDER |
| 15000920 | Other | KY | HANDS MEDICAID |
| 000000047568 | Other | KY | BC/BS PROVIDER NUMBER |
| 1568449445 | Other | KY | NPI RENDERING PROVIDER |
| 0300702 | Other | KY | MEDICARE PROVIDER |
| 1265410393 | Other | KY | NPI RENDERING PROVIDER |
| 1073590436 | Other | KY | NPI RENDERING PROVIDER |
| 1780687798 | Other | KY | NPI RENDERING PROVIDER |
Other names
- Cumberland County Health Department
Other providers in Burkesville, KY
- Just for You Case Management
- Just for You Case Management
- Sarah Kate Killman
- Victoria Kingrey
- Christian D Konsavage
- Lake Cumberland District Health Dept
- Lake Cumberland District Health Dept
- Lake Cumberland District Health Dept
- Jewell B. Lay
- Loy Family Practice
All providers in Burkesville, KY · Public Health or Welfare Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.