Organization Active NPI

Bullitt County Health Department

  • Public Health or Welfare Agency
  • Shepherdsville, KY
National Provider Identifier
1811997661
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BULLITT COUNTY HEALTH DEPARTMENT
Practice address
181 Lees Valley Rd
Shepherdsville, KY 40165-6143
Phone
(502) 955-7837
Fax
(502) 543-2998
NPI assigned
Jul 22, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Andrea D Renfrow, MSN, RN
Title
Public Health Director
Phone
(502) 955-6680

Specialties & licenses 1

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

Addresses

Primary practice location

181 Lees Valley Rd
Shepherdsville, KY 40165-6143

Mailing address

181 Lees Valley Rd
Shepherdsville, KY 40165-6143
Phone (502) 955-7837

Other identifiers 5

IdentifierTypeStateIssuer
87212OtherKYCOVENTRY CARES OF KY
1051411OtherPASSPORT HEALTH PLAN
15000037OtherKYHANDS MEDICAID
20015012MedicaidKY
645482OtherKYWELLCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405001316 KY Part B Supplier - Clinic/Group Practice 7618960865 Receives reassigned benefits from 1 practitioner
Practice locations: Shepherdsville, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1083847Bullitt County Health Department181 Lees Valley Road, Shepherdsville, KY 40165Certificate of waiverNov 23, 2027

National Provider Directory

National Provider Directory

Locations

181 Lees Valley Rd
Shepherdsvlle, KY 40165
Phone (502) 955-7837

Practitioners & affiliated clinicians

Practitioners 1

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": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811997661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 LEES VALLEY RD",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656143",
            "telephone_number": "502-955-7837",
            "fax_number": "502-543-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 LEES VALLEY RD",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656143",
            "telephone_number": "502-955-7837",
            "fax_number": "502-543-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLITT COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RENFROW",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "502-955-6680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY CARES OF KY",
            "identifier": "87212",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "1051411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HANDS MEDICAID",
            "identifier": "15000037",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20015012",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "645482",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.