GREEN RIVER DISTRICT HEALTH DEPARTMENT NPI 1003008822

Public Health or Welfare in Owensboro, KY

About GREEN RIVER DISTRICT HEALTH DEPARTMENT

Green River District Health Department is a provider in Owensboro, KY. The NPI number assigned to this provider is 1003008822. The practitioner's primary taxonomy code is Public Health or Welfare (251K00000X). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Burns Elementary School Health Clinic.

NPI1003008822 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameGREEN RIVER DISTRICT HEALTH DEPARTMENT
Provider Location Address4514 GOETZ DR OWENSBORO, KY 42301 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4514 GOETZ DR OWENSBORO, KY 42301 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameBURNS ELEMENTARY SCHOOL HEALTH CLINIC Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date08-15-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-23-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

GREEN RIVER DISTRICT HEALTH DEPARTMENT
4514 GOETZ DR
OWENSBORO, KY
ZIP 42301
Phone: (270) 852-7170
Fax: (270) 852-7180
Get Directions

Mailing Address

GREEN RIVER DISTRICT HEALTH DEPARTMENT
4514 GOETZ DR
OWENSBORO, KY
ZIP 42301
Phone: (270) 852-7170
Fax: (270) 852-7180

Primary Taxonomy

Taxonomy Code251K00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPublic Health or Welfare
TypeAgencies
License StateKY

Authorized Official

Authorized Official Name ANGEL THOMPSON Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleADMINISTRATIVE SERVICE MANAGER
Authorized Official Phone(270) 686-7747

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
20001483MEDICAID (05)KY

Map Location


GREEN RIVER DISTRICT HEALTH DEPARTMENT address is 4514 GOETZ DR OWENSBORO, KY 42301