LAKE CUMBERLAND DISTRICT HEALTH DEPT (NPI# 1710112552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710112552 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND DISTRICT HEALTH DEPT |
| Other Organization Name | RUSSELL COUNTY HIGH SCHOOL |
| Practice Address |
2166 S Highway 127 Russell Springs KY 42642-4010 |
| Mailing Address |
500 Bourne Ave Somerset KY 42501-1916 |
| Practice Telephone | 2708662224 |
| Mailing Telephone | 6066784761 |
| Mailing Fax Number | 6066769671 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |
| Authorized Official Name | 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 |
| Other Name | Type Code |
|---|---|
| Russell County High School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366790842 | Lake Cumberland District Health Dept | Public Health or Welfare | 99 Lloyd Cir, Monticello, KY 42633-5045 | 2012-08-15 |
| 1073833190 | Lake Cumberland District Health Dept | Public Health or Welfare | 401 E Hodgenville Ave, Greensburg, KY 42743-1343 | 2010-06-11 |
| 1790910537 | Lake Cumberland District Health Dept | Public Health or Welfare | 135 Cave St, Monticello, KY 42633-1411 | 2009-05-22 |
| 1417182247 | Lake Cumberland District Health Dept | Public Health or Welfare | 1673 E Ky 70, Liberty, KY 42539-6716 | 2009-05-22 |
| 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 |
| 1609001445 | Lake Cumberland District Health Dept | Public Health or Welfare | 1100 Lebanon Ave, Campbellsville, KY 42718-1911 | 2009-05-22 |
| 1700011541 | Lake Cumberland District Health Dept | Public Health or Welfare | 1085 Highway 1058, Jamestown, KY 42629-6649 | 2009-05-22 |
| 1891920633 | Lake Cumberland District Health Dept | Public Health or Welfare | 2258 S Highway 127, Russell Springs, KY 42642-4010 | 2009-05-22 |
| 1235364076 | Lake Cumberland District Health Dept | Public Health or Welfare | 650 High School Dr., Albany, KY 42602 | 2009-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKE CUMBERLAND DISTRICT HEALTH DEPT | 500 Bourne Ave, Somerset, KY 42501-1916 |
| Street Address |
2166 S HIGHWAY 127 |
| City | RUSSELL SPRINGS |
| State | KY |
| Zip Code | 42642-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732713 | Cumberland Family Medical Center Inc | Clinic/Center | 2166 S Highway 127, Russell Springs, KY 42642-4010 | 2015-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645490 | New Hope Counseling Services L.l.c | Psychologist | 330 Roy Drive, Russell Springs, KY 42642 | 2019-02-18 |
| 1629459912 | Ephraim Mcdowell Health Resources,inc | Physician Assistant | 92 Jt Petty Drive, Ste 300, Russell Springs, KY 42642 | 2015-06-12 |
| 1619397775 | Terri Susanne Jones Watkins Odpsc | Optometrist | 24 Caden Way, Suite 2, Russell Springs, KY 42642 | 2014-04-16 |
| 1548512247 | Charles Lenwood Gore | Pharmacist | 1372 Snow Rd, Russell Springs, KY 42642 | 2012-10-05 |
| 1407125016 | Avante Garde Health Centers, LLC | Clinic/Center | 72 Joe T Pettey Dr, Suite B, Russell Springs, KY 42642 | 2011-12-28 |
| 1821392515 | Southern Kentucky Medical Associates, Psc | Nurse Practitioner | 72 Joe T. Pettey Dr, Russell Springs, KY 42642 | 2011-01-10 |
| 1801106620 | Premiertox, Inc. | Clinical Medical Laboratory | 2431 Lakeway Drive, Suite A1, Russell Springs, KY 42642 | 2010-10-14 |
| 1639404593 | Rx Drug Monitoring Laboratory, LLC | Clinical Medical Laboratory | 660 Lakeway Drive, Suite A, Russell Springs, KY 42642 | 2009-10-11 |
| 1902079023 | Russell County Hospital | Specialist | 92 Jt Pettey Drive, Russell Springs, KY 42642 | 2008-04-09 |
| 1225242779 | Independent Speech Inc | Physical Therapist | 1831 Old Clear Springs Rd, Russell Springs, KY 42642 | 2007-05-10 |
| Find all providers in zip 42642 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891920633 | Lake Cumberland District Health Dept | Public Health or Welfare | 2258 S Highway 127, Russell Springs, KY 42642-4010 | 2009-05-22 |
| 1912106360 | Lake Cumberland District Health Dept | Public Health or Welfare | 1409 S Highway 76, Russell Springs, KY 42642-9612 | 2007-07-16 |
| 1093859258 | Lake Cumberland District Heatlh Dept | Public Health or Welfare | 1554 N Highway 127, Russell Springs, KY 42642-9502 | 2007-02-19 |
| 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 | RUSSELL SPRINGS |
| Zip Code | 42642 |
Please comment or provide details below to improve the information on LAKE CUMBERLAND DISTRICT HEALTH DEPT.
| 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.