Active NPI
Cumberland Valley Dist Health Dept
- Public Health or Welfare Agency
- Manchester, KY
National Provider Identifier
1902074420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- CUMBERLAND VALLEY DIST HEALTH DEPT
- Practice address
- 239 Richmond Rd
Manchester, KY 40962-1208 - Phone
- (606) 598-1810
- NPI assigned
- Feb 19, 2008
- Last updated
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
239 Richmond Rd
Manchester, KY 40962-1208
Mailing address
PO Box 158
Manchester Square Shopping Ctr. Room 212
Manchester, KY 40962-0158
Phone (606) 598-5564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20026027 | Medicaid | KY |
Other names 1
- Clay Co- Clay Co Middle School
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000660 | KY | Part B Supplier - Clinic/Group Practice | 1456255330 |
Receives reassigned benefits from 3 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Manchester, KY; MC Kee, KY; Mount Vernon, KY |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Public Health or Welfare Agency
- McKee, KY
- NPI 1437291473
O20031121000660
-
- Public Health or Welfare Agency
- Harlan, KY
- NPI 1770625964
O20031121000660
-
- Public Health or Welfare Agency
- Manchester, KY
- NPI 1669514923
O20031121000660
-
- Public Health or Welfare Agency
- Mount Vernon, KY
- NPI 1912049941
O20031121000660
-
- Public Health or Welfare Agency
- Pineville, KY
- NPI 1962549501
O20031121000660
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1902074420",
"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": "239 RICHMOND RD",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409621208",
"telephone_number": "606-598-1810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND VALLEY DIST HEALTH DEPT",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20026027",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clay Co- Clay Co Middle School",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manchester, KY
- Chad Corum, PHARM D
- April Michelle Couch, APRN
- Nadine Couch
- Kassidy Michaela Creech, LCSW
- Cumberland Outpatient Rehab, LLC (All Star Physical Therapy)
- Cumberland Valley District Health Department
- Cumberland Valley District Health Department (Cumberland Valley District Home Health)
- Paige Taylor Daly, PT
- G. Eldon Depew, PHARM D
- Suvas Ghelabhai Desai, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.