| Organization Name: | GREEN RIVER DISTRICT HEALTH DEPARTMENT |
| NPI Number: | 1467619247 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGEL THOMPSON (ADMINISTRATIVE SERVICES MANAGER) |
| Mailing Address: | 80 State Route 271 South Lewisport |
| State: | KY US |
| Postal Code: | 42351 |
| Phone Number: | 2709276953 |
| Fax Number: | 2709278677 |
| NPI Enumeration Date: | 05/20/2008 |
| NPI Last Update Date: | 12/21/2011 |
| 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: | |