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1962600643 NPI number — LAKE CUMBERLAND REGIONAL MHMR BOARD

NPI Number: 1962600643
Health Care Provider/Practitioner: LAKE CUMBERLAND REGIONAL MHMR BOARD

Information about “1962600643” NPI (LAKE CUMBERLAND REGIONAL MHMR BOARD) exists in 1962600643 in HTML format HTML  |  1962600643 in plain Text format TXT  |  1962600643 in PDF (Portable Document Format) PDF  |  1962600643 in an XML format XML  formats.

NPI Number : 1962600643 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962600643",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LAKE CUMBERLAND REGIONAL MHMR BOARD",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "130 SOUTHERN SCHOOL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOMERSET",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "42501-3223",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "606-679-4782",
    "MailingAddressFaxNumber": "606-678-5296",
    "FirstLinePracticeLocationAddress": "259 PARKERS MILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOMERSET",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42501-3152",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "606-679-4782",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/05/2007",
    "LastUpdateDate": "12/26/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEWIS",
    "AuthorizedOfficialFirstName": "JACK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "HR DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "606-679-4782",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "800019",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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