NPIMap

Organization Active NPI

Little Sandy District Health Department

Doing business as East Adolescent Health Center

  • Public Health or Welfare Agency
  • Grayson, KY
National Provider Identifier
1669653234
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LITTLE SANDY DISTRICT HEALTH DEPARTMENT
Doing business as
East Adolescent Health Center
Practice address
520 Robert & Mary Ave
Grayson, KY 41143-1133
Phone
(606) 474-0522
Fax
(606) 474-0522
NPI assigned
Nov 23, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mrs. Paula L Thornberry
Title
Account Clerk
Phone
(606) 474-6685

Specialties & licenses 1

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

Addresses

Primary practice location

520 Robert & Mary Ave
Grayson, KY 41143-1133

Mailing address

PO Box 909
Grayson, KY 41143-0909
Phone (606) 474-6685

Other identifiers 2

IdentifierTypeStateIssuer
1306826094OtherNPI
20022034MedicaidKY

Other names 1

  • East Adolescent Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Little Sandy District 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.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1669653234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411430909",
            "telephone_number": "606-474-6685",
            "fax_number": "606-474-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ROBERT & MARY AVE",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431133",
            "telephone_number": "606-474-0522",
            "fax_number": "606-474-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SANDY DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "THORNBERRY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNT CLERK",
        "authorized_official_telephone_number": "606-474-6685",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306826094",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20022034",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Adolescent Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grayson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.