Organization Name: | LAKE CUMBERLAND DISTRICT HEALTH DEPT |
NPI Number: | 1972647063 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAWN D. CRABTREE (EXECUTIVE DIRECTOR) |
Mailing Address: | 526 Indian Dr Columbia |
State: | KY US |
Postal Code: | 427281879 |
Phone Number: | 2703846515 |
Fax Number: | 2703846900 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/09/2007 |
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: |