Healthcare Provider Details

I. General information

NPI: 1831173103
Provider Name (Legal Business Name): BOYLE COUNTY HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 SOUTH 3RD ST
DANVILLE KY
40422
US

IV. Provider business mailing address

PO BOX 398
DANVILLE KY
40423-0398
US

V. Phone/Fax

Practice location:
  • Phone: 859-236-2053
  • Fax: 859-236-2863
Mailing address:
  • Phone: 859-236-2053
  • Fax: 859-236-2863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ROGER DALE TRENT
Title or Position: PUBILC HEALTH DIRECTOR
Credential: MSW
Phone: 859-236-2053