LEWIS COUNTY HEALTH DEPARTMENT (NPI# 1538495932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538495932 |
| Entity Type | Organization |
| Organization Name | LEWIS COUNTY HEALTH DEPARTMENT |
| Other Organization Name | TOLLESBORO ELEMENTARY SCHOOL |
| Practice Address |
2431 W Ky 10 Tollesboro KY 41189-8827 |
| Mailing Address |
Po Box 219 185 Commercial Drive Vanceburg KY 41179-0219 |
| Practice Telephone | 6067962632 |
| Practice Fax Number | 6067969285 |
| Mailing Telephone | 6067962632 |
| Mailing Fax Number | 6067969285 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | MRS. ANITA JO BERTRAM (PUBLIC HEALTH DIRECTOR) |
| Authorized Official Telephone | 6067962632 |
| Authorized Official Credential | L.S.W., L.N.H.A |
| Is Organization Subpart | Y |
| Parent Organization Name | LEWIS COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE ID - TYPE UNSPECIFIED | FLU0254 | 01 |
| KY | 20068011 | 05 |
| Other Name | Type Code |
|---|---|
| Tollesboro Elementary School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861958449 | Lewis County Health Department | Clinic/Center | 101 State Highway A, Monticello, MO 63457-1040 | 2019-02-19 |
| 1699001834 | Lewis County Health Department | Public Health or Welfare | East Kentucky 10, Garrison, KY 41141 | 2009-10-22 |
| 1003142449 | Lewis County Health Department | Public Health or Welfare | 86 Walter St, Vanceburg, KY 41179-5445 | 2009-10-20 |
| 1578639589 | Lewis County Health Department | Home Health | Junction 16 & Hwy A, Monticello, MO 63457 | 2006-11-28 |
| 1629391768 | Lewis County Health Department | Public Health or Welfare | 96 Plummers Ln, Vanceburg, KY 41179-7681 | 2010-03-03 |
| 1730402009 | Lewis County Health Department | Public Health or Welfare | 96 Plummers Ln, Vanceburg, KY 41179-7681 | 2010-03-01 |
| 1841526225 | Lewis County Health Department | Public Health or Welfare | Route 1, Vanceburg, KY 41179 | 2009-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEWIS COUNTY HEALTH DEPARTMENT | 125 Court Ave, Weston, WV 26452-1915 |
| Street Address |
2431 W KY 10 |
| City | TOLLESBORO |
| State | KY |
| Zip Code | 41189-8827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386714244 | Penny Sue Liles | Pharmacist | Route 1 Box 1005, Tollesboro, KY 41189 | 2006-11-08 |
| 1477564987 | Lewis County Primary Care Center, Inc. | Pharmacy | 17521 W Ky Hwy 9, Tollesboro, KY 41189 | 2006-08-10 |
| 1205951084 | Lewis County Primary Care Center, Inc. | Clinic/Center | 17521 W Ky 9, Tollesboro, KY 41189 | 2007-03-20 |
| 1629688973 | Heather Barnoski | Nurse Practitioner | 12072 Ky 57, Tollesboro, KY 41189-8529 | 2020-08-02 |
| 1811543630 | Angela Faye Poston | Nurse Practitioner | 127 E Evans Rd, Tollesboro, KY 41189-8626 | 2019-08-16 |
| 1821608415 | Taylor Douglas | Pharmacist | 470 Garrad Rd, Tollesboro, KY 41189-8653 | 2020-08-07 |
| 1598162976 | Trayla Liles I | Specialist/Technologist | 1698 Burtonville Rd, Tollesboro, KY 41189-8749 | 2014-12-01 |
| 1871565549 | Patti S Poczatek | Family Medicine | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-06 |
| 1043283252 | Erin M Himes | Physician Assistant | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608415 | Taylor Douglas | Pharmacist | 470 Garrad Rd, Tollesboro, KY 41189-8653 | 2020-08-07 |
| 1629688973 | Heather Barnoski | Nurse Practitioner | 12072 Ky 57, Tollesboro, KY 41189-8529 | 2020-08-02 |
| 1811543630 | Angela Faye Poston | Nurse Practitioner | 127 E Evans Rd, Tollesboro, KY 41189-8626 | 2019-08-16 |
| 1598162976 | Trayla Liles I | Specialist/Technologist | 1698 Burtonville Rd, Tollesboro, KY 41189-8749 | 2014-12-01 |
| 1386714244 | Penny Sue Liles | Pharmacist | Route 1 Box 1005, Tollesboro, KY 41189 | 2006-11-08 |
| 1477564987 | Lewis County Primary Care Center, Inc. | Pharmacy | 17521 W Ky Hwy 9, Tollesboro, KY 41189 | 2006-08-10 |
| 1871565549 | Patti S Poczatek | Family Medicine | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-06 |
| 1205951084 | Lewis County Primary Care Center, Inc. | Clinic/Center | 17521 W Ky 9, Tollesboro, KY 41189 | 2007-03-20 |
| 1043283252 | Erin M Himes | Physician Assistant | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-08 |
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1649734716 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 1555 Georgetown Rd, Lexington, KY 40511-1034 | 2019-01-23 |
| 1043789175 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 475 Price Rd, Lexington, KY 40508-1057 | 2018-11-19 |
| 1699244731 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 400 Lafayette Pkwy, Lexington, KY 40503-1218 | 2018-11-19 |
| 1942793377 | Buffalo Trace District Health Department | Public Health or Welfare | 1760 Sardis Road, Mt. Olivet, KY 41064 | 2018-06-11 |
| 1295233104 | Coventry Oak Elementary School | Public Health or Welfare | 2441 Huntly Place, Lexington, KY 40511 | 2018-01-25 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1881192789 | The Stables (school) | Public Health or Welfare | 4089 Iron Works Pike, Lexington, KY 40511 | 2018-01-25 |
| 1124526033 | Garrett Morgan Elementary School | Public Health or Welfare | 1150 Passage Mound Way, Lexington, KY 40511 | 2018-01-25 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| Find all providers with the same taxonomy | ||||
| City | TOLLESBORO |
| Zip Code | 41189 |
Please comment or provide details below to improve the information on LEWIS COUNTY HEALTH DEPARTMENT.
| 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.