Organization Active NPI

Cumberland Valley Dist. Health Dept

  • Public Health or Welfare Agency
  • Harlan, KY
National Provider Identifier
1861535940
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CUMBERLAND VALLEY DIST. HEALTH DEPT
Practice address
279 Ball Park Rd
Harlan, KY 40831-1753
Phone
(606) 573-7684
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Herman Johnson
Title
Administrator
Phone
(606) 598-5564

Specialties & licenses 1

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

Addresses

Primary practice location

279 Ball Park Rd
Harlan, KY 40831-1753

Mailing address

PO Box 158
Manchester Square Shopping Ctr. Room 212
Manchester, KY 40962-0158
Phone (606) 598-5564

Other names 1

  • Harlan Co. -Cawood High School Other name

National Provider Directory

National Provider Directory

Locations

279 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-7684

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861535940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "address_2": "MANCHESTER SQUARE SHOPPING CTR. ROOM 212",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409620158",
            "telephone_number": "606-598-5564",
            "fax_number": "606-598-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BALL PARK RD",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408311753",
            "telephone_number": "606-573-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND VALLEY DIST. HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-598-5564"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harlan Co. -Cawood High School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harlan, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.