Healthcare Provider Details

I. General information

NPI: 1639204134
Provider Name (Legal Business Name): PIKE COUNTY HEALTH DEPARTMENT BELFRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25320 US HIGHWAY 119 N SUITE 101
BELFRY KY
41514-9998
US

IV. Provider business mailing address

PO BOX 854
BELFRY KY
41514-0854
US

V. Phone/Fax

Practice location:
  • Phone: 606-353-7210
  • Fax:
Mailing address:
  • Phone: 606-353-7210
  • Fax:

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: MR. TAMMY M RILEY
Title or Position: PUBLIC HEALTH DIRECTOR
Credential:
Phone: 606-437-5500