Healthcare Provider Details

I. General information

NPI: 1407830706
Provider Name (Legal Business Name): KNOX COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 HOSPITAL DR
BARBOURVILLE KY
40906-7356
US

IV. Provider business mailing address

261 HOSPITAL DR
BARBOURVILLE KY
40906-7356
US

V. Phone/Fax

Practice location:
  • Phone: 606-546-5919
  • Fax: 606-546-2168
Mailing address:
  • Phone: 606-546-5919
  • Fax: 606-546-2168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number150018
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number150018
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150018
License Number StateKY

VIII. Authorized Official

Name: MRS. REBECCA RAINS
Title or Position: DIRECTOR
Credential:
Phone: 606-546-5919