Organization Active NPI

Woodford County Health Department

  • Public Health or Welfare Agency
  • Versailles, KY
National Provider Identifier
1710185657
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
NOT APPLICABLE Issued in KY
Legal business name
WOODFORD COUNTY HEALTH DEPARTMENT
Practice address
229 N Main St
Versailles, KY 40383-1240
Phone
(859) 873-4541
Fax
(859) 873-7238
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Ms. Cassie H. Prather
Title
Public Health Director
Phone
(859) 873-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NOT APPLICABLE KY Primary

Addresses

Primary practice location

229 N Main St
Versailles, KY 40383-1240

Mailing address

229 N Main St
Versailles, KY 40383-1240
Phone (859) 873-4541

Other identifiers 3

IdentifierTypeStateIssuer
20120010,15000573MedicaidKY
20120010MedicaidKY
20901211MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000131 KY Part B Supplier - Mass Immunization (Roster Biller Only) 8426096181 Practice locations: Versailles, KY

National Provider Directory

National Provider Directory

Locations

229 N Main St
Versailles, KY 40383
Phone (606) 873-4541

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1710185657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831240",
            "telephone_number": "859-873-4541",
            "fax_number": "859-873-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831240",
            "telephone_number": "859-873-4541",
            "fax_number": "859-873-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFORD COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "859-873-4541",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20120010,15000573",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20120010",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20901211",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.