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South Todd Elementary School Clinic

Organization Active NPI Public Health or Welfare Agency · Guthrie, KY

NPI 1881921328 · NPPES record last updated Nov 4, 2009

Key facts

NPI
1881921328
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
SOUTH TODD ELEMENTARY SCHOOL CLINIC
Practice address
4115 Guthrie Rd
Guthrie, KY 42234-9114
Phone
(270) 265-2362
Fax
(270) 265-0602
NPI assigned
Nov 4, 2009
Organization subpart
Yes
Parent organization (as reported)
TODD COUNTY HEALTH DEPARTMENT

Authorized official

Name
Mrs. Sheila Griggs
Title
Adm Spec II
Phone
(270) 265-2362

Corporate family (same tax ID) 5

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

National Provider Directory

Tax ID family
Todd County Central High School Clinic (6 organizations share this tax ID)
Part of
Todd County Central High School Clinic

Locations

4115 Guthrie Rd
Guthrie, KY 42234
Phone (270) 265-2362

Specialties & licenses

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

Addresses

Primary practice location

4115 Guthrie Rd
Guthrie, KY 42234-9114

Mailing address

PO Box 305
Elkton, KY 42220-0305
Phone (270) 265-2362

Other identifiers

IdentifierTypeStateIssuer
20110011MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2009.

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1881921328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422200305",
            "telephone_number": "270-265-2362",
            "fax_number": "270-265-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 GUTHRIE RD",
            "city": "GUTHRIE",
            "state": "KY",
            "postal_code": "422349114",
            "telephone_number": "270-265-2362",
            "fax_number": "270-265-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TODD ELEMENTARY SCHOOL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TODD COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "ADM SPEC II",
        "authorized_official_telephone_number": "270-265-2362",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20110011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, KY

All providers in Guthrie, KY · Public Health or Welfare Agency in Kentucky

Sources for this page

Verify at the official NPI Registry.