Cumberland Valley Dist. Health Dept.
Organization Active NPI Public Health or Welfare Agency · Kenvir, KY
NPI 1982898243 · NPPES record last updated Aug 30, 2007
Key facts
- NPI
- 1982898243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- CUMBERLAND VALLEY DIST. HEALTH DEPT.
- Practice address
- 1555 Hwy 215
Kenvir, KY 40847 - Phone
- (606) 837-2214
- Fax
- (606) 573-6128
- NPI assigned
- Aug 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Herman Johnson
- Title
- Administrator
- Phone
- (606) 598-5564
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Cumberland Valley Dist Health Dept
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
1555 Hwy 215
Kenvir, KY 40847
Mailing address
PO Box 158
Manchester Square Shopping Ctr. Room 212
Manchester, KY 40962-0158
Phone (606) 598-5564
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100002600 | Medicaid | KY |
Other names
- Harlan Co.-Black Mtn. Elem.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.