Organization Active NPI

Kentucky River Foothills Development Council, Inc.

  • Community Health Clinic/Center
  • Irvine, KY
National Provider Identifier
1912917543
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
720280 Issued in KY
Legal business name
KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.
Practice address
209 River Dr
Irvine, KY 40336-1142
Phone
(606) 723-6629
Fax
(606) 723-9726
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Vicki M Jozefowicz
Title
Executive Director
Phone
(859) 624-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 720280 KY Primary

Addresses

Primary practice location

209 River Dr
Irvine, KY 40336-1142

Mailing address

209 River Dr
Irvine, KY 40336-1142
Phone (606) 663-9011

Other names 1

  • Foothills Mobile Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

209 River Dr
Irvine, KY 40336
Phone (606) 723-6629

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1912917543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 RIVER DR",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361142",
            "telephone_number": "606-663-9011",
            "fax_number": "606-663-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 RIVER DR",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361142",
            "telephone_number": "606-723-6629",
            "fax_number": "606-723-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "JOZEFOWICZ",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-624-2046"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "KY",
            "license": "720280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Mobile Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.