Healthcare Provider Details

I. General information

NPI: 1710969332
Provider Name (Legal Business Name): LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 06/23/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 S 3RD ST
BARDSTOWN KY
40004-1032
US

IV. Provider business mailing address

PO BOX 2609
ELIZABETHTOWN KY
42702-2609
US

V. Phone/Fax

Practice location:
  • Phone: 502-348-3874
  • Fax: 502-349-1557
Mailing address:
  • Phone: 270-769-1601
  • Fax: 270-765-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARA JO BEST
Title or Position: DIRECTOR
Credential:
Phone: 270-769-1601