LAKE CUMBERLAND DISTRICT HEALTH (NPI# 1063556223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063556223 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND DISTRICT HEALTH |
| Other Organization Name | CAMPBELLSVILLE ELEMENTARY SCHOOL |
| Practice Address |
230 W Main St Campbellsville KY 42718-2366 |
| Mailing Address |
500 Bourne Ave Somerset KY 42501-1916 |
| Practice Telephone | 2704654561 |
| Practice Fax Number | 2707893827 |
| Mailing Telephone | 6066784761 |
| Mailing Fax Number | 6066769671 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SHAWN D CRABTREE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6066784761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 20109039 | 05 |
| Other Name | Type Code |
|---|---|
| Campbellsville Elementary School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1760526008 | Lake Cumberland District Health | Public Health or Welfare | 210 May St, Somerset, KY 42501-1326 | 2007-02-19 |
| 1992849343 | Lake Cumberland District Health | Public Health or Welfare | 302 Brummal Ave, Greensburg, KY 42743-1004 | 2007-02-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKE CUMBERLAND DISTRICT HEALTH DEPT | 500 Bourne Ave, Somerset, KY 42501-1916 |
| Street Address |
230 W MAIN ST |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407081243 | Lake Cumberland District Health Dept | Public Health or Welfare | 230 W Main St, Campbellsville, KY 42718-2366 | 2009-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609001445 | Lake Cumberland District Health Dept | Public Health or Welfare | 1100 Lebanon Ave, Campbellsville, KY 42718-1911 | 2009-05-22 |
| 1538319181 | Lake Cumberland District Health Dept | Public Health or Welfare | 1207 E Broadway St, Campbellsville, KY 42718-1549 | 2008-09-19 |
| 1538204680 | Lake Cumberland District Health Dept | Public Health or Welfare | 300 Ingram Ave, Campbellsville, KY 42718-1625 | 2007-02-20 |
| 1447395595 | Lake Cumberland District Health Dept | Public Health or Welfare | 315 Roberts Rd, Campbellsville, KY 42718-9742 | 2007-02-20 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1407081243 | Lake Cumberland District Health Dept | Public Health or Welfare | 230 W Main St, Campbellsville, KY 42718-2366 | 2009-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1649734716 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 1555 Georgetown Rd, Lexington, KY 40511-1034 | 2019-01-23 |
| 1043789175 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 475 Price Rd, Lexington, KY 40508-1057 | 2018-11-19 |
| 1699244731 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 400 Lafayette Pkwy, Lexington, KY 40503-1218 | 2018-11-19 |
| 1942793377 | Buffalo Trace District Health Department | Public Health or Welfare | 1760 Sardis Road, Mt. Olivet, KY 41064 | 2018-06-11 |
| 1295233104 | Coventry Oak Elementary School | Public Health or Welfare | 2441 Huntly Place, Lexington, KY 40511 | 2018-01-25 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1881192789 | The Stables (school) | Public Health or Welfare | 4089 Iron Works Pike, Lexington, KY 40511 | 2018-01-25 |
| 1124526033 | Garrett Morgan Elementary School | Public Health or Welfare | 1150 Passage Mound Way, Lexington, KY 40511 | 2018-01-25 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
Please comment or provide details below to improve the information on LAKE CUMBERLAND DISTRICT HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.