1. Home
  2. Directory
  3. Kentucky
  4. Marion
  5. Public Health Or Welfare
  6. NPI Profile

CRITTENDEN COUNTY ROCKET MIDDLE SCHOOL CLINIC
NPI 1073775920
Public Health or Welfare in Marion, KY

Active since July 01, 2008CLIA 18D1082261 · Waiver
519 1/2 W GUM ST, MARION, KY 42064(270) 388-9747(270) 388-7749 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crittenden County Rocket Middle School Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRITTENDEN COUNTY ROCKET MIDDLE SCHOOL CLINIC (NPI 1073775920) is a healthcare organization registered as a public health or welfare in Marion, Kentucky and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Allison L Beshear, Public Health Director, as its authorized official.

NPPES Registry Identity

NPI1073775920
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NamePENNYRILE DISTRICT HEALTH DEPARTMENT
Location Address519 1/2 W GUM STMarion, KY 42064-1581
Mailing AddressPo Box 770Eddyville, KY 42038-0770 · (270) 388-9747 · Fax (270) 388-7749
Phone(270) 388-9747
Fax(270) 388-7749
Organization SubpartNo
Authorized OfficialAllison L BeshearPublic Health Director · (270) 388-9747
Enumeration DateJuly 1, 2008
Last NPPES UpdateApril 16, 2014
✔ NPI 1073775920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
519 1/2 W GUM ST, Marion, KY 42064
Open in Google Maps ↗

Other Names 1

Doing Business AsCrittenden County Rocket Middle School Clinic

Other Identifiers 1

Medicaid7100046410KY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1082261

Pennyrile District Health Dept · Eddyville, KY
Active · expires Apr 3, 2028
CLIA Number18D1082261
Laboratory TypePublic Health Dept
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorMs. Kelsee Comp
Laboratory Phone(270) 388-9747
Laboratory LocationPennyrile District Health Dept208 Outlet Ave, Eddyville, KY 42038
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennyrile District Health Department's NPI number?

The NPI number for Pennyrile District Health Department is 1073775920. It was assigned to this organization in the NPPES registry on July 1, 2008. The provider is doing business as Crittenden County Rocket Middle School Clinic.

Where is Pennyrile District Health Department located?

Pennyrile District Health Department is located at 519 1/2 W Gum St, Marion, KY 42064. The listed phone number is (270) 388-9747.

What is Pennyrile District Health Department's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Pennyrile District Health Department hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1082261) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pennyrile District Health Department was last updated on April 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.