Kentucky River District Health Department
Organization Active NPI Public Health or Welfare Agency · Campton, KY
NPI 1780698563 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1780698563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
- Practice address
- Highway 15 West
Campton, KY 41301 - Phone
- (606) 668-3185
- Fax
- (606) 668-6076
- NPI assigned
- Jul 28, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- KENTUCKY RIVER DISTRICT HEALTH DEPT.
Authorized official
- Name
- Mr. Anthony Scott Lockard, M.S.W., C.S.W.
- Title
- Public Health Director IV
- Phone
- (606) 439-2361
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 24
Practitioners 10
-
Mary Anita Arnold, ARNP
-
Sherrie Yvonne Bailey, APRN
-
Sidney Baker, ARNP
-
Alice Caudill, RD
-
Judy Combs, ARNP
-
Deborah D. Hacker, ARNP
-
Julie Renee Kennon, M.D.
-
Lucreasie Lewis, ARNP
-
Marilyn Ruth Osborne, C.N.M., C.F.N.P.
-
Jeffery Prater, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Perry County Health Dep
- Part of
- Perry County Health Dep
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
Highway 15 West
Campton, KY 41301
Mailing address
441 Gorman Hollow Rd
Hazard, KY 41701-2315
Phone (606) 439-2361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15000680 | Other | KY | HANDS MEDICAID |
| 2815 | Other | KY | GROUP NUMBER |
| 20119012 | Medicaid | KY |
Other names
- Wolfe County Health Center
Other providers in Campton, KY
- Kentucky River District Health Department
- Kentucky River District Health Department
- Kentucky River District Health Department
- Kentucky River District Health Department
- Kentucky River District Health Department
- Kera Ti Vonda King
- Charles Preston Kluesner
- Kayla Dawn Mann
- McKaylyn Cheyann Mays
- Seth Derrand McKnight
All providers in Campton, 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 Sep 18, 2018. 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.