Organization Active NPI

Gateway District Health

  • Clinical Social Worker
  • Ashland, KY
National Provider Identifier
1740630169
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GATEWAY DISTRICT HEALTH
Practice address
5850 US 60
Ashland, KY 41102-6712
Phone
(606) 929-9155
Fax
(606) 929-9833
NPI assigned
Jun 16, 2016
Last updated
Jun 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Tonya Perego
Title
Manager
Phone
(606) 929-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5850 US 60
Ashland, KY 41102-6712

Mailing address

5850 US 60
Ashland, KY 41102-6712
Phone (606) 929-9155

National Provider Directory

National Provider Directory
Tax ID family
Gateway District Health2 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": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1740630169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 US 60",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411026712",
            "telephone_number": "606-929-9155",
            "fax_number": "606-929-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 US 60",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411026712",
            "telephone_number": "606-929-9155",
            "fax_number": "606-929-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY DISTRICT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "PEREGO",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "606-929-9155"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.