LAKE CUMBERLAND DISTRICT HEALTH DEPT NPI 1912042060

NPI Information

NPI: 1912042060
Provider Name: LAKE CUMBERLAND DISTRICT HEALTH DEPT

Doing Business As: MCCREARY CENTRAL HIGH SCHOOL

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
400 RAIDER WAY
STEARNS, KY
ZIP 42647
Phone: (606) 376-5051
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LAKE CUMBERLAND DISTRICT HEALTH DEPT is a public health or welfare in Stearns, KY. LAKE CUMBERLAND DISTRICT HEALTH DEPT NPI is 1912042060. The provider is registered as an organization entity type.
The provider Is Doing Business As Mccreary Central High School.

The provider's business location address is:

400 RAIDER WAY
STEARNS, KY
ZIP 42647-110
Phone: (606) 376-5051
Fax: (606) 376-4045

The provider's authorized official is Shawn D. Crabtree .
The authorized official title is Executive Director and has the following contact phone number (606) 678-4761.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20001095	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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