MEDICARE: LEXINGTON-FAYETTE URBAN-COUNTY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780864041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON-FAYETTE URBAN-COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	650 NEWTOWN PIKE
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40508
Country	:	US
Telephone Number	:	859-288-2311
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 GEORGIAN WAY
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504
Country	:	US
Telephone Number	:	859-381-3094
Fax Number	:	859-381-3109

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	CARA KAY
Credential	:	CFO
Telephone Number	:	859-288-2353

Provider Enumeration Date	:	11/05/2007
Last Update Date	:	11/12/2018

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