LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT; NPI #1497890545

Contact Information

LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT

199 ADAMS STREET
LIBERTY, KY 42539

Phone: 606-787-6911
Fax: 606-787-2507
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 DEPARTMENT

NPI # 1497890545

LBN Legal business name LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT

Authorized official SHAWN CRABTREE - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/20/2007

Last updated 08/03/2010 - About 16 years ago

Identifiers

KY	Medicaid	20023016
KY	Other	000000047568	BC/BS PROVIDER NUMBER
KY	Other	15001316	HANDS MEDICAID
KY	Other	0300502	MEDICARE PROVIDER
KY	Other	1073590436	NPI RENDERING PROVIDER
KY	Other	1265410393	NPI RENDERING PROVIDER
KY	Other	1316135783	NPI RENDERING PROVIDER
KY	Other	1427035872	NPI RENDERING PROVIDER
KY	Other	1437271244	NPI RENDERING PROVIDER
KY	Other	1568449445	NPI RENDERING PROVIDER
KY	Other	1588825335	NPI RENDERING PROVIDER
KY	Other	1629055082	NPI RENDERING PROVIDER
KY	Other	1760469134	NPI RENDERING PROVIDER
KY	Other	1770560716	NPI RENDERING PROVIDER
KY	Other	1780687798	NPI RENDERING PROVIDER
KY	Other	50003866	PASSPORT MEDICAID
KY	Other	600000713	RR MEDICARE

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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