Active NPI
Woodford County Health Department
- Public Health or Welfare Agency
- Versailles, KY
National Provider Identifier
1710185657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- NOT APPLICABLE
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20120010,15000573 | Medicaid | KY | |
| 20120010 | Medicaid | KY | |
| 20901211 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050422000131 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8426096181 | Practice locations: Versailles, KY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Public Health & General Preventive Medicine Physician
- Versailles, KY
- NPI 1568703379
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.