Clark County Health Department

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CLARK COUNTY HEALTH DEPARTMENT

Practice address

273 Shoppers Dr
Winchester, KY 40391-2806

Phone

(859) 745-7995

Fax

(859) 745-0115

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca A Kissick

Title

Public Health Director

Phone

(859) 744-4482

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Clark County Physical Therapy and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Clark County Health Department

  • Public Health or Welfare Agency
  • Winchester, KY
  • NPI 1578589495

  O20040413001248

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Frances Hardin, ARNP

  • Women's Health Nurse Practitioner
  • Paris, KY
  • NPI 1295805455
  NPD
• Lori Dotson, OT

  • Occupational Therapist
  • Winchester, KY
  • NPI 1396123519
  NPD (past)

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1972058873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PROFESSIONAL AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911147",
            "telephone_number": "859-745-7995",
            "fax_number": "859-745-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912806",
            "telephone_number": "859-745-7995",
            "fax_number": "859-745-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "KISSICK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "859-744-4482",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100430010",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark County Physical Therapy and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clark County Physical Therapy and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clark County Health Department
• Clark County Health Department
• Clark County Health Department
• Clark County Health Department
• Clark County Health Department
• Clark County Health Department
• Clark County Pharmacy, Inc
• Clark Emergency Physicians
• Clark Family Care
• Clark Infusion Group LLC

• Rehabilitation Clinic/Center in Winchester, KY
• Providers in Winchester, KY by specialty
• Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.

Verify at the official NPI Registry.