NPIMap

Organization Active NPI

Graves County Health Department

  • Public Health or Welfare Agency
  • Mayfield, KY
National Provider Identifier
1659601755
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GRAVES COUNTY HEALTH DEPARTMENT
Practice address
416 Central Avenue
Mayfield, KY 42064
Phone
(270) 247-3553
Fax
(270) 247-0391
NPI assigned
Jan 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Mr. Noel T. Coplen
Title
Director
Phone
(270) 247-3553

Specialties & licenses 1

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

Addresses

Primary practice location

416 Central Avenue
Mayfield, KY 42064

Mailing address

416 Central Avenue
Mayfield, KY 42066
Phone (270) 247-3553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110322000814 KY Part B Supplier - Mass Immunization (Roster Biller Only) 9537342910 Practice locations: Mayfield, KY

National Provider Directory

National Provider Directory
Tax ID family
Graves County Health Department8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

750 US Highway 60 W
Smithland, KY 42081
Phone (270) 247-3553

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1659601755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CENTRAL AVENUE",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "42066",
            "telephone_number": "270-247-3553",
            "fax_number": "270-247-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CENTRAL AVENUE",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "42064",
            "telephone_number": "270-247-3553",
            "fax_number": "270-247-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVES COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "COPLEN",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-247-3553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.