Organization Name: | INEZ MIDDLE SCHOOL CLINIC |
NPI Number: | 1588837348 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN WARD (PUBLIC HEALTH DIRECTOR) |
Mailing Address: | 5001 Middle School Dr Inez |
State: | KY US |
Postal Code: | 412249552 |
Phone Number: | 6062983264 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2008 |
NPI Last Update Date: | 03/18/2010 |
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: |