Lake Cumberland Veterans Directed Services

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

LAKE CUMBERLAND VETERANS DIRECTED SERVICES

Practice address

2384 Lakeway Dr
Russell Springs, KY 42642-4509

Phone

(270) 866-4200

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Darryl McGaha

Title

Executive Director

Phone

(270) 866-4200

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1780185181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1570",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426421570",
            "telephone_number": "270-866-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 LAKEWAY DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424509",
            "telephone_number": "270-866-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND VETERANS DIRECTED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "MCGAHA",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-866-4200"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Cumberland District Health Dept
• Lake Cumberland District Heatlh Dept
• Lake Cumberland Pharmacy LLC
• Lake Cumberland Pharmacy LLC
• Lake Cumberland Physician Practices, LLC
• Laker Drug Inc.
• Lakeside Home Medical Equipment Inc
• Tabitha Renee Lawless
• Alexandria F Lawson, LCSW
• Barry Lawson, RPH

• Supports Brokerage Agency in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Supports Brokerage Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.