Organization Name: | HEARTLAND ELEMENTRAY SCHOOL SATELITE CLINIC |
NPI Number: | 1487937520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA M SIMS (DIRECTOR) |
Mailing Address: | 2300 Nelson Dr Elizabethtown |
State: | KY US |
Postal Code: | 427015945 |
Phone Number: | 2707691601 |
Fax Number: | 2707657274 |
NPI Enumeration Date: | 09/26/2011 |
NPI Last Update Date: | 09/26/2011 |
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: |