Organization Name: | BRIDGEPORT ELEMENTARY SCHOOL CLINIC |
NPI Number: | 1891019709 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA ALEXANDER (PUBLIC HEALTH DIRECTOR) |
Mailing Address: | 411 Kings Daughters Dr Frankfort |
State: | KY US |
Postal Code: | 406016516 |
Phone Number: | 5028758430 |
Fax Number: | 5025649640 |
NPI Enumeration Date: | 03/22/2010 |
NPI Last Update Date: | 03/22/2010 |
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: |