NORTH CENTRAL DISTRICT HEALTH DEPARTMENT (NPI# 1073061644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073061644 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL DISTRICT HEALTH DEPARTMENT |
| Other Organization Name | SHELBY WEST MIDDLE SATELLITE CLINIC |
| Practice Address |
100 Warriors Way Shelbyville KY 40065-8057 |
| Mailing Address |
1020 Henry Clay St Shelbyville KY 40065-1335 |
| Practice Telephone | 5026334869 |
| Mailing Telephone | 5026331243 |
| Mailing Fax Number | 5026337658 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | DAVID CAMMACK (INTERIM PUBLIC HEALTH DIRECTOR) |
| Authorized Official Telephone | 5026331243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Shelby West Middle Satellite Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952761165 | North Central District Health Department | Public Health or Welfare | 728 Ginkgo Dr, Shelbyville, KY 40065-1271 | 2016-03-01 |
| 1528302429 | North Central District Health Department | Public Health or Welfare | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| 1932639069 | North Central District Health Department | Public Health or Welfare | 31 N Main St, Enfield, CT 06082-3337 | 2017-06-12 |
| 1215177993 | North Central District Health Department | Public Health or Welfare | 215 10th St, Lewiston, ID 83501-1910 | 2009-02-20 |
| 1225057813 | North Central District Health Department | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH CENTRAL DISTRICT HEALTH DEPARTMENT | 31 N Main St, Enfield, CT 06082-3337 |
| Street Address |
100 WARRIORS WAY |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-8057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952761165 | North Central District Health Department | Public Health or Welfare | 728 Ginkgo Dr, Shelbyville, KY 40065-1271 | 2016-03-01 |
| 1154695039 | North Central District Health Dept. | Public Health or Welfare | 1020 Henry Clay St, Shelbyville, KY 40065-1335 | 2012-02-24 |
| 1427321397 | North Central District Health Dept | Public Health or Welfare | 801 Discovery Blvd, Shelbyville, KY 40065-9815 | 2012-02-22 |
| 1316175268 | Shelby Community Health Center | Public Health or Welfare | 1640 E State Road 44 Ste B, Shelbyville, IN 46176-4030 | 2009-06-30 |
| 1700858552 | North Central District Health Dept. | Public Health or Welfare | 615 11th St, Shelbyville, KY 40065 | 2006-02-06 |
| 1528042686 | County of Shelby | Public Health or Welfare | 1700 W South 3rd St, Shelbyville, IL 62565-9510 | 2005-12-02 |
| 1588647895 | North Central District Home Health Agency | Public Health or Welfare | 30 Main St, Shelbyville, KY 40065-1020 | 2005-11-22 |
| 1144744384 | Elena Ruth Quinonez | Public Health or Welfare | 140 Dover St, Shelbyville, TN 37160-2776 | 2017-07-31 |
| 1629371166 | Bedford County Health Department | Public Health or Welfare | 140 Dover St, Shelbyville, TN 37160-2776 | 2010-12-06 |
| 1821216292 | Shelby County Health Department and Home Health Agency | Public Health or Welfare | 700 E Main St, Shelbyville, MO 63469-1422 | 2007-04-23 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on NORTH CENTRAL DISTRICT HEALTH DEPARTMENT.
| 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.