MADISON COUNTY HEALTH DEPARTMENT (NPI# 1184879090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184879090 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY HEALTH DEPARTMENT |
| Other Organization Name | RICHMOND HEADSTART |
| Practice Address |
301 Bellevue Dr. Richmond KY 40475-1261 |
| Mailing Address |
216 Boggs Lane Richmond KY 40475-2522 |
| Practice Telephone | 8596264502 |
| Mailing Telephone | 8596264502 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | NANCY M CREWE (DIRECTOR) |
| Authorized Official Telephone | 8596264241 |
| 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 | KENTUCKY MEDICAID PROVIDER NUMBER | 20901211 | 01 |
| Other Name | Type Code |
|---|---|
| Richmond Headstart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1346477650 | Madison County Health Department | Public Health or Welfare | 1428 Dr. Robert R. Martin Bypass, Richmond, KY 40475 | 2009-06-12 |
| 1417130808 | Madison County Health Department | Public Health or Welfare | 329 Big Hill Road, Berea, KY 40403 | 2007-12-10 |
| 1326221714 | Madison County Health Department | Public Health or Welfare | 644 Kirksville Road, Richmond, KY 40475 | 2007-12-10 |
| 1396928867 | Madison County Health Department | Public Health or Welfare | 300 Bond St, Richmond, KY 40475-2588 | 2007-12-07 |
| 1932382405 | Madison County Health Department | Public Health or Welfare | 1 Pirate Pkwy, Berea, KY 40403-1541 | 2007-12-07 |
| 1821271396 | Madison County Health Department | Public Health or Welfare | 101 Summit St, Richmond, KY 40475-2129 | 2007-12-07 |
| 1306029871 | Madison County Health Department | Public Health or Welfare | 1143 Berea Rd., Richmond, KY 40475-7900 | 2007-12-07 |
| 1578746046 | Madison County Health Department | Public Health or Welfare | 109 Oakwood Dr., Berea, KY 40403-1036 | 2007-12-07 |
| 1104009679 | Madison County Health Department | Public Health or Welfare | 2166 Lexington Rd, Richmond, KY 40475-7900 | 2007-12-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MADISON COUNTY HEALTH DEPARTMENT | 806 W College Ave, Fredericktown, MO 63645-1308 |
| Street Address |
301 BELLEVUE DR. |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174472 | Astyra Corporation | Public Health or Welfare | 411 E Franklin St Ste 105, Richmond, VA 23219-2243 | 2020-04-30 |
| 1831327329 | Ajs Ministries Int'l Inc | Public Health or Welfare | 3121 Stone Dale Ct, Richmond, VA 23223-2651 | 2009-06-23 |
| 1346477650 | Madison County Health Department | Public Health or Welfare | 1428 Dr. Robert R. Martin Bypass, Richmond, KY 40475 | 2009-06-12 |
| 1326221714 | Madison County Health Department | Public Health or Welfare | 644 Kirksville Road, Richmond, KY 40475 | 2007-12-10 |
| 1396928867 | Madison County Health Department | Public Health or Welfare | 300 Bond St, Richmond, KY 40475-2588 | 2007-12-07 |
| 1821271396 | Madison County Health Department | Public Health or Welfare | 101 Summit St, Richmond, KY 40475-2129 | 2007-12-07 |
| 1306029871 | Madison County Health Department | Public Health or Welfare | 1143 Berea Rd., Richmond, KY 40475-7900 | 2007-12-07 |
| 1104009679 | Madison County Health Department | Public Health or Welfare | 2166 Lexington Rd, Richmond, KY 40475-7900 | 2007-12-07 |
| 1477736940 | Madison County Health Department | Public Health or Welfare | 450 Tates Creek Rd, Richmond, KY 40475-9426 | 2007-12-07 |
| 1104008358 | Madison County Health Department | Public Health or Welfare | 1710 North Second St., Richmond, KY 40475 | 2007-11-29 |
| Find all providers in RICHMOND | ||||
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| 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.