CRITTENDEN COUNTY FIRECRACKER STAR CLINIC
NPI 1396927745
Public Health or Welfare in Marion, KY

Active since November 28, 2007
120 AUTUMN LN, MARION, KY 42064(270) 388-9747(270) 388-9747 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crittenden County Firecracker Star Clinic NPPES

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

CRITTENDEN COUNTY FIRECRACKER STAR CLINIC (NPI 1396927745) is a healthcare organization registered as a public health or welfare in Marion, Kentucky and active in the NPI registry since November 2007. The organization lists Elisha Kite, Director, as its authorized official.

NPPES Registry Identity

NPI1396927745
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NamePENNYRILE DISTRICT HEALTH DEPARTMENT
Location Address120 AUTUMN LNMarion, KY 42064-1877
Mailing AddressPo Box 770Eddyville, KY 42038-0770 · (270) 388-9747 · Fax (270) 388-7749
Fax(270) 388-9747
Organization SubpartYes
Authorized OfficialElisha KiteDirector · (270) 388-9747
Enumeration DateNovember 28, 2007
Last NPPES UpdateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
NPI 1396927745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
120 AUTUMN LN, Marion, KY 42064

Other Names 1

Doing Business AsCrittenden County Firecracker Star Clinic

Other Identifiers 1

Medicaid7100003680KY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Public Health or Welfare
120 AUTUMN LN
MARION, KY 42064

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 1396927745. It was assigned to this organization in the NPPES registry on November 28, 2007. The provider is doing business as Crittenden County Firecracker Star Clinic.

Where is Pennyrile District Health Department located?

Pennyrile District Health Department is located at 120 Autumn Ln, 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.

When was this NPI record last updated?

The NPPES record for Pennyrile District Health Department was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.