LAKE CUMBERLAND DISTRICT HEALTH DEPT (NPI# 1811031271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811031271 |
| Entity Type | Organization |
| Organization Name | LAKE CUMBERLAND DISTRICT HEALTH DEPT |
| Other Organization Name | MCCREARY COUNTY MIDDLE SCHOOL |
| Practice Address |
180 Raider Way Stearns KY 42647-6110 |
| Mailing Address |
500 Bourne Ave Somerset KY 42501-1916 |
| Practice Telephone | 6063765081 |
| Practice Fax Number | 6063769580 |
| Mailing Telephone | 6066784761 |
| Mailing Fax Number | 6066769671 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 20001111 | 05 |
| Other Name | Type Code |
|---|---|
| McCreary County Middle 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 |
| 1710112552 | Lake Cumberland District Health Dept | Public Health or Welfare | 2166 S Highway 127, Russell Springs, KY 42642-4010 | 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 |
| 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 |
180 RAIDER WAY |
| City | STEARNS |
| State | KY |
| Zip Code | 42647-6110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952959132 | Cumberland Family Medical Center, Inc. | Clinic/Center | 180 Raider Way, Stearns, KY 42647-6110 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282642 | Joshua W Sharp | Registered Nurse | 22 Doc West Rd, Stearns, KY 42647 | 2020-07-16 |
| 1598235996 | Burgess Drug Store Inc | Pharmacy | 2157 S. Hwy 27, Ste # 2, Stearns, KY 42647 | 2018-11-28 |
| 1700227147 | James Carroll Corder | Nurse Practitioner | 2157 S Hwy 27, Stearns, KY 42647 | 2013-07-15 |
| 1952532939 | Mccreary County Schools | Local Education Agency (LEA) | 120 Raider Way, Stearns, KY 42647-6110 | 2009-08-07 |
| 1912042060 | Lake Cumberland District Health Dept | Public Health or Welfare | 400 Raider Way, Stearns, KY 42647-6110 | 2007-02-20 |
| 1124676523 | Cumberland Family Medical Center, Inc. | Clinic/Center | 400 Raider Way, Steams, KY 42647-6110 | 2019-08-28 |
| 1881954360 | Sharen Hill | Developmental Therapist | 66 Water Plant Rd, Stearns, KY 42647-6115 | 2012-05-18 |
| 1740540343 | Karen Stephens | Developmental Therapist | 145 Water Plant Rd, Stearns, KY 42647-6115 | 2012-05-17 |
| 1205496825 | Holly Nicole Lockhart-kidd | Counselor | 34 Farm Ridge Rd, Stearns, KY 42647-6171 | 2019-06-17 |
| 1134606403 | Hope Primary & Urgent Care Pllc | Clinic/Center | 2157 S Highway 27, Stearns, KY 42647-6297 | 2018-07-19 |
| Find all providers in zip 42647 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912042060 | Lake Cumberland District Health Dept | Public Health or Welfare | 400 Raider Way, Stearns, KY 42647-6110 | 2007-02-20 |
| 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 | ||||
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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.