NPIMap

Organization Active NPI

Lake Cumberland District Health Dept

  • Public Health or Welfare Agency
  • Columbia, KY
National Provider Identifier
1972647063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LAKE CUMBERLAND DISTRICT HEALTH DEPT
Practice address
526 Indian Dr
Columbia, KY 42728-1879
Phone
(270) 384-6515
Fax
(270) 384-6900
NPI assigned
Feb 20, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Shawn D. Crabtree
Title
Executive Director
Phone
(606) 678-4761

Corporate family (same tax ID) 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Lake Cumberland Dist HL (79 organizations share this tax ID)

Locations

526 Indian Dr
Columbia, KY 42728
Phone (270) 384-6515

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

526 Indian Dr
Columbia, KY 42728-1879

Mailing address

500 Bourne Ave
Somerset, KY 42501-1916
Phone (606) 678-4761

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
20001038MedicaidKY

Other names 1

NPPES NPI Registry
  • Adair Co. High School Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972647063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOURNE AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011916",
            "telephone_number": "606-678-4761",
            "fax_number": "606-676-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 INDIAN DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281879",
            "telephone_number": "270-384-6515",
            "fax_number": "270-384-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "606-678-4761",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20001038",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adair Co. High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.