Organization Active NPI

Pennyrile District Health Department

Doing business as Lyon County Elementary School Clinic

  • Public Health or Welfare Agency
  • Eddyville, KY
National Provider Identifier
1891944492
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PENNYRILE DISTRICT HEALTH DEPARTMENT
Doing business as
Lyon County Elementary School Clinic
Practice address
201 Fairview Ave
Eddyville, KY 42038
Phone
(270) 388-9747
Fax
(270) 388-7749
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Mr. James M Tolley
Title
Public Health Director
Phone
(270) 388-9747

Specialties & licenses 1

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

Addresses

Primary practice location

201 Fairview Ave
Eddyville, KY 42038

Mailing address

PO Box 770
Eddyville, KY 42038-0770
Phone (270) 388-9747

Other names 1

  • Lyon County Elementary School Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lyon Co Health Dept20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

201 W Fairview Ave
Eddyville, KY 42038

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1891944492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420380770",
            "telephone_number": "270-388-9747",
            "fax_number": "270-388-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FAIRVIEW AVE",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "42038",
            "telephone_number": "270-388-9747",
            "fax_number": "270-388-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYRILE DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "TOLLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "270-388-9747",
        "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": [
        {
            "organization_name": "Lyon County Elementary School Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eddyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.