Organization
LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT
Active
Other names
Cumberland County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN D. CRABTREE (EXECUTIVE DIRECTOR)
(606) 678-4761
Entity
Organization
Contact information
Practice address
226 COPPER LN, BURKESVILLE, KY 42717-9678
(270) 864-2206
(270) 864-1232
Mailing address
500 BOURNE AVE, SOMERSET, KY 42501-1916
(606) 678-4761
(606) 676-9671
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047568
BC/BS PROVIDER NUMBER
KY
01
—
0300702
MEDICARE PROVIDER
KY
01
—
1073590436
NPI RENDERING PROVIDER
KY
01
—
1265410393
NPI RENDERING PROVIDER
KY
01
—
1316135783
NPI RENDERING PROVIDER
KY
01
—
1427035872
NPI RENDERING PROVIDER
KY
01
—
1437271244
NPI RENDERING PROVIDER
KY
01
—
15000920
HANDS MEDICAID
KY
01
—
1568449445
NPI RENDERING PROVIDER
KY
01
—
1588825335
NPI RENDERING PROVIDER
KY
01
—
1629055082
NPI RENDERING PROVIDER
KY
01
—
1760469134
NPI RENDERING PROVIDER
KY
01
—
1770560716
NPI RENDERING PROVIDER
KY
01
—
1780687798
NPI RENDERING PROVIDER
KY
05
—
20029013
—
KY
01
—
50003866
PASSPORT MEDICAID
KY
01
—
600000715
RR MEDICARE
KY
Enumeration date
02/16/2007
Last updated
08/03/2010
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