Organization Active NPI

Madison County Health Department

  • Public Health or Welfare Agency
  • Berea, KY
National Provider Identifier
1639351885
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MADISON COUNTY HEALTH DEPARTMENT
Practice address
75 Old US Hwy 25 N
Berea, KY 40403-1036
Phone
(859) 986-4991
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Nancy M Crewe
Title
Director
Phone
(859) 626-4241

Specialties & licenses 1

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

Addresses

Primary practice location

75 Old US Hwy 25 N
Berea, KY 40403-1036

Mailing address

214 Boggs Lane
Richmond, KY 40475-2522
Phone (859) 626-4233

Other identifiers 1

IdentifierTypeStateIssuer
20076030MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Madison County Health D24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

75 Old US 25 N
Berea, KY 40403
Phone (859) 986-4991

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1639351885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BOGGS LANE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752522",
            "telephone_number": "859-626-4233",
            "fax_number": "859-623-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 OLD US HWY 25 N",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031036",
            "telephone_number": "859-986-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "CREWE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-626-4241"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20076030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.