NPIMap

Organization Active NPI

Morrland Healthcare

  • Community/Behavioral Health Agency
  • Somerset, KY
National Provider Identifier
1679986079
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MORRLAND HEALTHCARE
Doing business as
Intrust Healthcare
Practice address
401 Bogle St
Suite 102
Somerset, KY 42503-3823
Phone
(960) 667-6063
Fax
(606) 676-0789
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Christy D Vaught
Title
Credentialing Specialist
Phone
(606) 676-0638

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

401 Bogle St
Suite 102
Somerset, KY 42503-3823

Mailing address

401 Bogle St
Suite 102
Somerset, KY 42503-3823
Phone (960) 667-6063

Other identifiers 1

IdentifierTypeStateIssuer
7100282540MedicaidKY

Other names 1

  • Intrust Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intrust Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1679986079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST",
            "address_2": "SUITE 102",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033823",
            "telephone_number": "960-667-6063",
            "fax_number": "606-676-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST",
            "address_2": "SUITE 102",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033823",
            "telephone_number": "960-667-6063",
            "fax_number": "606-676-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRLAND HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "VAUGHT",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "606-676-0638"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100282540",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intrust Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.