Organization Name: | CLARK COUNTY HEALTH DEPART |
NPI Number: | 1003948985 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA LEANN SPARKS (PROGRAM SPECIALIST) |
Mailing Address: | 400 Professional Ave Winchester |
State: | KY US |
Postal Code: | 403911147 |
Phone Number: | 8597444482 |
Fax Number: | 8597372426 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0905X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, State or Local |
Taxonomy Definition: |