Cumberland Valley Dist. HLTH Dept
Organization Active NPI Public Health or Welfare Agency · Harlan, KY
NPI 1770625964 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1770625964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- CUMBERLAND VALLEY DIST. HLTH DEPT
- Practice address
- 402 E Clover St
Harlan, KY 40831-2312 - Phone
- (606) 573-4820
- Fax
- (606) 573-6128
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Herman Johnson
- Title
- Administrator
- Phone
- (606) 598-5564
Other NPIs on the same Medicare enrollment 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000660 | KY | Part B Supplier - Clinic/Group Practice | 1456255330 |
Receives reassigned benefits from 3 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Manchester, KY; MC Kee, KY; Mount Vernon, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
402 E Clover St
Harlan, KY 40831-2312
Mailing address
PO Box 158
Manchester Square Shopping Ctr. Room 212
Manchester, KY 40962-0158
Phone (606) 598-5564
Other names
- Harlan Co. Health Dept.
Other providers in Harlan, KY
- Rebecca Lynn Collett
- Benji Ray Combs
- Francisco F. Corp
- Kevin Bradley Creech
- Cumberland Valley Dist. Health Dept
- Abdulkader Dahhan
- Georges Sayed Damaa
- Stephen Allen Daniel
- Maria Dean
- Kristin Delaney
All providers in Harlan, KY · Public Health or Welfare Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.