Active NPI
Lincoln Trail District Health Department
- Public Health or Welfare Agency
- Elizabethtown, KY
National Provider Identifier
1780666396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT
- Practice address
- 580 Westport Rd
Elizabethtown, KY 42701 - Phone
- (270) 765-6196
- Fax
- (270) 763-0397
- NPI assigned
- Nov 18, 2005
- 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
- Mrs. Sara Jo Best
- Title
- Director
- Phone
- (270) 769-1601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
580 Westport Rd
Elizabethtown, KY 42701
Mailing address
PO Box 2609
Elizabethtown, KY 42702-2609
Phone (270) 769-1601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20047015 | Medicaid | KY | |
| 1051435 | Medicaid | KY |
Other names 1
- Hardin County Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230810001271 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092612069 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Elizabethtown, KY; Springfield, KY; Lebanon, KY; Hodgenville, KY; Brandenburg, KY; Bardstown, KY |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Public Health or Welfare Agency
- Lebanon, KY
- NPI 1255313862
O20230810001271
-
- Public Health or Welfare Agency
- Elizabethtown, KY
- NPI 1407034713
O20230810001271
-
- Public Health or Welfare Agency
- Hodgenville, KY
- NPI 1457333056
O20230810001271
-
- Public Health or Welfare Agency
- Springfield, KY
- NPI 1497737001
O20230810001271
-
- Public Health or Welfare Agency
- Brandenburg, KY
- NPI 1710969316
O20230810001271
-
- Public Health or Welfare Agency
- Bardstown, KY
- NPI 1710969332
O20230810001271
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1780666396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2609",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427022609",
"telephone_number": "270-769-1601",
"fax_number": "270-765-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 WESTPORT RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "42701",
"telephone_number": "270-765-6196",
"fax_number": "270-763-0397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2023-06-23",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "BEST",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "270-769-1601",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20047015",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1051435",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hardin County Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hardin County Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.