Boyle County Health Dept
Organization Active NPI Public Health or Welfare Agency · Danville, KY
NPI 1831173103 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1831173103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- BOYLE COUNTY HEALTH DEPT
- Practice address
- 448 South 3Rd St
Danville, KY 40422 - Phone
- (859) 236-2053
- Fax
- (859) 236-2863
- NPI assigned
- Dec 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Roger Dale Trent, MSW
- Title
- Pubilc Health Director
- Phone
- (859) 236-2053
Practitioners 1
-
Vicki L Vernon, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041102001132 | KY | Part B Supplier - Clinic/Group Practice | 8426010315 |
Receives reassigned benefits from 1 practitioner Practice locations: Danville, KY |
National Provider Directory
Locations
448 S 3rd St
Danville, KY 40422
Phone (859) 236-2053
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | KY | Yes |
Addresses
Primary practice location
448 South 3Rd St
Danville, KY 40422
Mailing address
PO Box 398
Danville, KY 40423-0398
Phone (859) 236-2053
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20011011 | Medicaid | KY |
Other providers in Danville, KY
- Michael Bowdy
- Boyd Family Dentistry PLLC
- Charles Landrum Boyd
- Boyle County Board of Education
- Boyle County Fiscal Court
- Kathy Brackett Benge
- Deidra Breitenbach
- Rachel Cooper Briese
- Shea Brittain
- Annie Nichole Brookbank
All providers in Danville, 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 Aug 22, 2020. 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.