Organization Name: | TODD COUNTY MIDDLE SCHOOL CLINIC |
NPI Number: | 1093042699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHEILA GRIGGS (ADM SPEC II) |
Mailing Address: | 515 W Main St Elkton |
State: | KY US |
Postal Code: | 422209220 |
Phone Number: | 2702652362 |
Fax Number: | 2702650602 |
NPI Enumeration Date: | 11/03/2009 |
NPI Last Update Date: | 11/03/2009 |
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: |