NPIMap

Organization Active NPI

Paducah Middle School Clinic

  • Public Health or Welfare Agency
  • Paducah, KY
National Provider Identifier
1821436908
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PADUCAH MIDDLE SCHOOL CLINIC
Practice address
342 Lone Oak Rd
Paducah, KY 42001-4446
Phone
(270) 444-5710
NPI assigned
Jun 11, 2013
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PURCHASE DISTRICT HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Mr. Kent Koster
Title
Public Health Director
Phone
(270) 444-9625

Specialties & licenses 1

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

Addresses

Primary practice location

342 Lone Oak Rd
Paducah, KY 42001-4446

Mailing address

916 Kentucky Ave
Paducah, KY 42003-1955
Phone (270) 444-9625

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
18D2308913BHMG School Clinic - Paducah Middle School342 Lone Oak Rd, Paducah, KY 42001Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Carlisle Co Elementary School Clinic32 organizations share this tax ID, including this one
Part of
Carlisle Co Elementary School Clinic

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1821436908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420031955",
            "telephone_number": "270-444-9625",
            "fax_number": "270-575-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014446",
            "telephone_number": "270-444-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADUCAH MIDDLE SCHOOL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PURCHASE DISTRICT HEALTH DEPARTMENT",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "270-444-9625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.