PENNYRILE DISTRICT HEALTH DEPARTMENT (NPI# 1396927745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396927745 |
| Entity Type | Organization |
| Organization Name | PENNYRILE DISTRICT HEALTH DEPARTMENT |
| Other Organization Name | CRITTENDEN COUNTY FIRECRACKER STAR CLINIC |
| Practice Address |
120 Autumn Ln Marion KY 42064-1877 |
| Mailing Address |
Po Box 770 Eddyville KY 42038-0770 |
| Practice Telephone | 2703889747 |
| Practice Fax Number | 2703889747 |
| Mailing Telephone | 2703889747 |
| Mailing Fax Number | 2703887749 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | MRS. ALLISON L BESHEAR (PUBLIC HEALTH DIRECTOR) |
| Authorized Official Telephone | 2703889747 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENNYRILE DISTRICT HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | KY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100003680 | 05 |
| Other Name | Type Code |
|---|---|
| Crittenden County Firecracker Star Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386893972 | Pennyrile District Health Department | Public Health or Welfare | 350 Beckner Ln, Princeton, KY 42445-5002 | 2008-09-18 |
| 1659520245 | Pennyrile District Health Department | Public Health or Welfare | 440 Beckner Ln, Princeton, KY 42445-5003 | 2008-09-18 |
| 1891944492 | Pennyrile District Health Department | Public Health or Welfare | 201 Fairview Ave, Eddyville, KY 42038 | 2008-09-18 |
| 1285883876 | Pennyrile District Health Department | Public Health or Welfare | 206 Lafayette St, Cadiz, KY 42211-9142 | 2008-09-18 |
| 1558510149 | Pennyrile District Health Department | Public Health or Welfare | 209 W Fairview Ave, Eddyville, KY 42038-8222 | 2008-09-18 |
| 1073775920 | Pennyrile District Health Department | Public Health or Welfare | 519 1/2 W Gum St, Marion, KY 42064-1581 | 2008-07-01 |
| 1497937841 | Pennyrile District Health Department | Public Health or Welfare | 519 W Gum St, Marion, KY 42064-1581 | 2007-11-28 |
| 1205018652 | Pennyrile District Health Department | Public Health or Welfare | 850 Cutoff Rd, Smithland, KY 42081-8914 | 2007-11-28 |
| 1750563102 | Pennyrile District Health Department | Public Health or Welfare | 105 Educational Dr, Princeton, KY 42445-5079 | 2007-11-28 |
| 1942499157 | Pennyrile District Health Department | Public Health or Welfare | 1370 Us Highway 60 E, Burna, KY 42028-9239 | 2007-10-24 |
| Street Address |
120 AUTUMN LN |
| City | MARION |
| State | KY |
| Zip Code | 42064-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417365164 | Graves County Health Department | Public Health or Welfare | 120 Autumn Ln, Marion, KY 42064-1877 | 2014-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840924 | Tashena Elizabeth Hill | Pharmacist | 520 West Gum St., Marion, KY 42064 | 2017-09-13 |
| 1629318365 | Christopher Scott Wynn | Chiropractor | 107 Morningside Dr Ste 4, Marion, KY 42064 | 2013-02-17 |
| 1184747636 | John Jason Newcom | Chiropractor | 913 South Main Street, Marion, KY 42064 | 2007-04-09 |
| 1578684247 | Melissa Gayle Myers | Case Manager/Care Coordinator | 6654 State Road 1668, Marion, KY 42064 | 2007-04-02 |
| 1629195185 | Pennyrile District Health Department | Public Health or Welfare | 190 Industrial Dr., Marion, KY 42064 | 2007-03-22 |
| 1285747915 | Steve Evert Crider | Dentist | 913 B South Main Street, Marion, KY 42064 | 2006-08-16 |
| 1194726752 | Starkey Family Practice | Chiropractor | 789 Chapel Hill Road, Marion, KY 42064 | 2005-08-04 |
| 1659601755 | Graves County Health Department | Public Health or Welfare | 416 Central Avenue, Mayfield, KY 42064 | 2010-01-12 |
| 1245209790 | Crittenden County Hospital | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064 | 2006-03-16 |
| 1841462223 | Crittenden County Hospital | Home Health | 520 West Gum St, Marion, KY 42064-0386 | 2008-03-26 |
| Find all providers in zip 42064 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114448370 | Perry County Health Dept Std | Public Health or Welfare | 1748 S Washington St, Marion, AL 36756-3406 | 2017-06-28 |
| 1073775920 | Pennyrile District Health Department | Public Health or Welfare | 519 1/2 W Gum St, Marion, KY 42064-1581 | 2008-07-01 |
| 1295905511 | State of Alabama | Public Health or Welfare | 1609 Highway 5 S, Marion, AL 36756-3413 | 2008-03-03 |
| 1497937841 | Pennyrile District Health Department | Public Health or Welfare | 519 W Gum St, Marion, KY 42064-1581 | 2007-11-28 |
| 1629195185 | Pennyrile District Health Department | Public Health or Welfare | 190 Industrial Dr., Marion, KY 42064 | 2007-03-22 |
| 1538226014 | Rutherford-polk-mcdowell District Health Department | Public Health or Welfare | 408 Spaulding Rd, Marion, NC 28752-5212 | 2007-01-03 |
| 1376587089 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 201 Francis Marion Lane, Marion, VA 24354 | 2006-06-15 |
| 1952348708 | Marion Adolescent Pregnancy Program Inc | Public Health or Welfare | 498 N Main St, Marion, OH 43302-2361 | 2006-06-01 |
| 1417365164 | Graves County Health Department | Public Health or Welfare | 120 Autumn Ln, Marion, KY 42064-1877 | 2014-07-25 |
| 1144638891 | Graves County Health Department | Public Health or Welfare | 519 W Gum St, Marion, KY 42064-1581 | 2014-07-25 |
| Find all providers in MARION | ||||
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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.