LAKE CUMBERLAND DISTRICT HEALTH DEPT; NPI #1063556165

Contact Information

LAKE CUMBERLAND DISTRICT HEALTH DEPT

912 NORTH MAIN STREET
BURKESVILLE, KY 42717

Phone: 270-864-3451
Fax: 270-864-1284
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency

Indicates primary specialty

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NPI Profile & details for LAKE CUMBERLAND DISTRICT HEALTH DEPT

NPI # 1063556165

LBN Legal business name LAKE CUMBERLAND DISTRICT HEALTH DEPT

Authorized official SHAWN CRABTREE - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/20/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

20029021

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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