| Organization Name: | GREEN RIVER DISTRICT HEALTH DEPARTMENT |
| NPI Number: | 1235278557 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGEL THOMPSON (ADMINISTRATIVE SERVICES MANAGER) |
| Mailing Address: | 2150 E 19th St Owensboro |
| State: | KY US |
| Postal Code: | 423031217 |
| Phone Number: | 2706852129 |
| Fax Number: | 2706851764 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 12/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |