CASEY COUNTY FAMILY PRACTICE
NPI 1679720114
Clinic/Center - Rural Health in Liberty, KY

Active since August 27, 2008CLIA 18D1090495 · Waiver
199 ADAMS ST, LIBERTY, KY 42539(606) 787-5044(606) 787-0251 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Feb 23, 2017 (2 updates tracked since 2017).

About Casey County Family Practice NPPES

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

CASEY COUNTY FAMILY PRACTICE (NPI 1679720114) is a healthcare organization registered as a rural health in Liberty, Kentucky and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through October 12, 2026 and lists Rex A. Tungate, Administrator, as its authorized official.

NPPES Registry Identity

NPI1679720114
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCASEY COUNTY HOSPITAL DISTRICT
Location Address199 ADAMS STLiberty, KY 42539-3064
Mailing Address199 Adams StLiberty, KY 42539-3064 · (606) 787-5044 · Fax (606) 787-0251
Fax(606) 787-0251
Organization SubpartYes
Authorized OfficialRex A. TungateAdministrator · (606) 787-6275
Enumeration DateAugust 27, 2008
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1679720114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
199 ADAMS ST, Liberty, KY 42539

Other Names 1

Doing Business AsCasey County Family Practice

Other Identifiers 1

Medicaid7100070150KY

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 18D1090495

Casey County Family Practice · Liberty, KY
Active · expires Oct 12, 2026
CLIA Number18D1090495
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorJared K. Wilson
Laboratory Phone(606) 787-5044
Laboratory LocationCasey County Family Practice199 Adams St, Liberty, KY 42539
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
199 ADAMS ST
LIBERTY, KY 42539

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 Casey County Hospital District's NPI number?

The NPI number for Casey County Hospital District is 1679720114. It was assigned to this organization in the NPPES registry on August 27, 2008. The provider is doing business as Casey County Family Practice.

Where is Casey County Hospital District located?

Casey County Hospital District is located at 199 Adams St, Liberty, KY 42539. The listed phone number is (606) 787-5044.

What is Casey County Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Casey County Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1090495) is associated with this NPI, valid through October 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Casey County Hospital District was last updated on August 23, 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.