NPIMap

Organization Active NPI

Kentucky River District Health Department

Doing business as Owsley County Health Center

  • Public Health or Welfare Agency
  • Booneville, KY
National Provider Identifier
1750397139
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
Doing business as
Owsley County Health Center
Practice address
Highway 28
Booneville, KY 41314
Phone
(606) 593-5181
Fax
(606) 593-7438
NPI assigned
Jul 31, 2006
Last updated
Sep 18, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
KENTUCKY RIVER DISTRICT HEALTH DEPT.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Mr. Anthony Scott Lockard, M.S.W., C.S.W.
Title
Public Health Director IV
Phone
(606) 439-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

Highway 28
Booneville, KY 41314

Mailing address

441 Gorman Hollow Rd
Hazard, KY 41701-2315
Phone (606) 439-2361

Other identifiers 3

IdentifierTypeStateIssuer
20095014MedicaidKY
8372OtherKYMEDICARE GROUP
15000961OtherKYHANDS MEDICAID

Other names 1

  • Owsley County Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413001502 KY Part B Supplier - Clinic/Group Practice 3173517901 Receives reassigned benefits from 3 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beattyville, KY; Booneville, KY; Campton, KY; Hazard, KY; Hindman, KY; Hyden, KY; Whitesburg, KY

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lee County Health Depar88 organizations share this tax ID, including this one
Part of
Lee County Health Depar

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

282 Ky 28
Booneville, KY 41314
Phone (606) 593-5181

Practitioners & affiliated clinicians

Practitioners 11

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1750397139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 GORMAN HOLLOW RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012315",
            "telephone_number": "606-439-2361",
            "fax_number": "606-439-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 28",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "41314",
            "telephone_number": "606-593-5181",
            "fax_number": "606-593-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENTUCKY RIVER DISTRICT HEALTH DEPT.",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "LOCKARD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR IV",
        "authorized_official_telephone_number": "606-439-2361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W., C.S.W."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20095014",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "8372",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HANDS MEDICAID",
            "identifier": "15000961",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owsley County Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owsley County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Booneville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.