Organization Active NPI

Nulease Rural Health LLC

  • Rural Health Clinic/Center
  • Campbellsville, KY
National Provider Identifier
1700477866
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NULEASE RURAL HEALTH LLC
Practice address
1327 E Broadway St
Campbellsville, KY 42718-1599
Phone
(270) 283-4240
Fax
(270) 283-4556
NPI assigned
Feb 1, 2021
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Shannon CalesNPI 1689225724
Title
Owner
Phone
(270) 465-1411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1327 E Broadway St
Campbellsville, KY 42718-1599

Mailing address

1327 E Broadway St Ste B
Campbellsville, KY 42718-1599
Phone (270) 283-4240

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2306470Nulease Rural Health LLC1327 E Broadway St, Campbellsville, KY 42718Certificate of waiverJun 17, 2028

National Provider Directory

National Provider Directory

Locations

1327 E Broadway St
Campbellsville, KY 42718
Phone (270) 283-4240

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1700477866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E BROADWAY ST STE B",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181599",
            "telephone_number": "270-283-4240",
            "fax_number": "270-283-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E BROADWAY ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181599",
            "telephone_number": "270-283-4240",
            "fax_number": "270-283-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULEASE RURAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "CALES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-465-1411"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.