1164686846 NPI number — MAGOFFIN COUNTY HEALTH DEPARTMENT

Table of content: (NPI 1164686846)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164686846 NPI number — MAGOFFIN COUNTY HEALTH DEPARTMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAGOFFIN COUNTY HEALTH DEPARTMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SOUTH MAGOFFIN ELEMENTARY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164686846
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
723 PARKWAY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALYERSVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41465-9740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-349-6212
Provider Business Mailing Address Fax Number:
606-349-6216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
171 HALF MOUNTAIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALYERSVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41465-9449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-884-7325
Provider Business Practice Location Address Fax Number:
606-884-7322
Provider Enumeration Date:
07/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SALYER
Authorized Official First Name:
BERTIE
Authorized Official Middle Name:
KAYE
Authorized Official Title or Position:
PUBLIC HEALTH DIRECTOR
Authorized Official Telephone Number:
606-349-6212

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000059385 . This is a "BLUECROSS/BLUE SHIELD" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com