LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT (NPI# 1912041641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912041641 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT |
| Other Organization Name | PULASKI COUNTY HEALTH DEPARTMENT |
| Practice Address |
45 Roberts St Somerset KY 42501-1295 |
| Mailing Address |
500 Bourne Ave Somerset KY 42501-1916 |
| Practice Telephone | 6066794416 |
| Practice Fax Number | 6066794419 |
| Mailing Telephone | 6066784761 |
| Mailing Fax Number | 6066769671 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2010-08-04 |
| 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 | RR MEDICARE | 600000718 | 01 |
| KY | BC/BS PROVIDER NUMBER | 000000047568 | 01 |
| KY | NPI RENDERING PROVIDER | 1316135783 | 01 |
| KY | NPI RENDERING PROVIDER | 1588825335 | 01 |
| KY | NPI RENDERING PROVIDER | 1770560716 | 01 |
| KY | NPI RENDERING PROVIDER | 1760469134 | 01 |
| KY | 20100012 | 05 | |
| KY | NPI RENDERING PROVIDER | 1437271244 | 01 |
| KY | HANDS MEDICAID | 15001324 | 01 |
| KY | NPI RENDERING PROVIDER | 1629055082 | 01 |
| KY | NPI RENDERING PROVIDER | 1780687798 | 01 |
| KY | NPI RENDERING PROVIDER | 1265410393 | 01 |
| KY | NPI RENDERING PROVIDER | 1568449445 | 01 |
| KY | PASSPORT MEDICAID | 50003866 | 01 |
| KY | NPI RENDERING PROVIDER | 1568647824 | 01 |
| KY | MEDICARE PROVIDER | 0300402 | 01 |
| KY | NPI RENDERING PROVIDER | 1073590436 | 01 |
| KY | NPI RENDERING PROVIDER | 1427035872 | 01 |
| Other Name | Type Code |
|---|---|
| Pulaski County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619309861 | Lake Cumberland District Health Department | Public Health or Welfare | 158 Col Casey Drive, Columbia, KY 42728 | 2013-07-30 |
| 1942510292 | Lake Cumberland District Health Department | Public Health or Welfare | 204 King Dr, Albany, KY 42602-9630 | 2010-10-20 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1982748083 | Lake Cumberland District Health Department | Public Health or Welfare | 131 Foothills Ave, Albany, KY 42602-1090 | 2007-02-20 |
| 1841335999 | Lake Cumberland District Health Department | Public Health or Welfare | 211 Fruit of The Loom Dr, Jamestown, KY 42629-2523 | 2007-02-20 |
| 1336283878 | Lake Cumberland District Health Department | Public Health or Welfare | 119 Medical Lane, Whitley City, KY 42653 | 2007-02-17 |
| 1629112461 | Lake Cumberland District Health Department | Public Health or Welfare | 226 Copper Ln, Burkesville, KY 42717-9678 | 2007-02-16 |
| 1528102472 | Lake Cumberland District Health Department | Public Health or Welfare | 801 Westlake Dr, Columbia, KY 42728-1162 | 2007-02-16 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1023152873 | Lake Cumberland District Health Department | Public Health or Welfare | 220 Industrial Park Rd, Greensburg, KY 42743-1400 | 2007-02-16 |
| Street Address |
45 ROBERTS ST |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265410393 | Christine Weyman | Pediatrics | 45 Roberts St, Somerset, KY 42501-1295 | 2006-01-09 |
| 1437271244 | Rebecca J Whitis | Nurse Practitioner | 45 Roberts St, Somerset, KY 42501-1295 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083849814 | Lake Cumberland District Health Dept | Public Health or Welfare | 222 Langdon St, Somerset, KY 42501-2342 | 2009-05-22 |
| 1447485271 | Lake Cumberland District Health Dept | Public Health or Welfare | 500 Chandler St, Somerset, KY 42501-2268 | 2009-05-22 |
| 1205002714 | Franklin Township Health Department | Public Health or Welfare | 935 Hamilton St, Somerset, NJ 08873-3697 | 2008-05-05 |
| 1649479080 | Lake Cumberland District Health Dept | Public Health or Welfare | 6155 Highway 39, Somerset, KY 42503-5179 | 2007-07-16 |
| 1093847287 | Center for Great Expectations | Public Health or Welfare | 19 Dellwood Ln, Bldg. A, Somerset, NJ 08873-1551 | 2007-03-12 |
| 1710022868 | Lake Cumberland District Health Dept | Public Health or Welfare | 1755 Wtlo Rd, Somerset, KY 42503-3721 | 2007-02-20 |
| 1992840045 | Lake Cumberland District Health Dept | Public Health or Welfare | 1765 Wtlo Rd, Somerset, KY 42503-3721 | 2007-02-20 |
| 1184769234 | Lake Cumberland District Health Dept | Public Health or Welfare | 210 Barnett St, Somerset, KY 42501-1271 | 2007-02-20 |
| 1457496507 | Lake Cumberland District Heatlh Dept | Public Health or Welfare | 301 College St, Somerset, KY 42501-1311 | 2007-02-20 |
| 1629113774 | Lake Cumberland District Health Dept | Public Health or Welfare | 10 Shopville Rd, Somerset, KY 42503-5410 | 2007-02-20 |
| Find all providers in SOMERSET | ||||
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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.