NPIMap

Organization Active NPI

Msu School Clinic

  • Public Health or Welfare Agency
  • Owingsville, KY
National Provider Identifier
1831511583
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MSU SCHOOL CLINIC
Practice address
42 Treadway Drive
Owingsville, KY 40360
Phone
(606) 674-6396
Fax
(606) 674-3071
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
GATEWAY DISTRICT HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Mr. Gregory Dean Brewer
Title
Director of Administrative Services
Phone
(606) 674-6396

Specialties & licenses 1

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

Addresses

Primary practice location

42 Treadway Drive
Owingsville, KY 40360

Mailing address

PO Box 555
Owingsville, KY 40360-0555
Phone (606) 674-6396

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth of Kentucky126 organizations share this tax ID, including this one
Part of
Menifee County Health Dept

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1831511583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403600555",
            "telephone_number": "606-674-6396",
            "fax_number": "606-674-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 TREADWAY DRIVE",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "40360",
            "telephone_number": "606-674-6396",
            "fax_number": "606-674-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSU SCHOOL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY DISTRICT HEALTH DEPARTMENT",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "606-674-6396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owingsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.