MEDICARE: BARREN RIVER DISTRICT HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356520803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARREN RIVER DISTRICT HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	1109 STATE ST
Second Line	:	P.O. BOX 1157
City	:	BOWLING GREEN
State	:	KY
Zip	:	42101-2648
Country	:	US
Telephone Number	:	270-781-8039
Fax Number	:	270-796-8946

Provider Business Practice Location Address
First Line	:	221 MAMMOTH CAVE RD
Second Line	:
City	:	BROWNSVILLE
State	:	KY
Zip	:	42210-9040
Country	:	US
Telephone Number	:	270-597-2194
Fax Number	:	270-597-3326

Authorized Official
Title or Position	:	PUBLIC HEALTH DIRECTOR
Name	:	DR. MATTHEW L HUNT
Credential	:
Telephone Number	:	270-781-8039

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	06/30/2025

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