Organization Name: | GREEN RIVER DISTRICT HEALTH DEPARTMENT |
NPI Number: | 1033478607 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGEL THOMPSON (ADMIN SERVICES MANAGER) |
Mailing Address: | 2741 Cravens Ave Owensboro |
State: | KY US |
Postal Code: | 423011666 |
Phone Number: | 2706861030 |
Fax Number: | 2706869678 |
NPI Enumeration Date: | 05/16/2012 |
NPI Last Update Date: | 05/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |