Healthcare Provider Details
I. General information
NPI: 1598947871
Provider Name (Legal Business Name): MAGOFFIN COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2007
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
HC 88 BOX 180
GUNLOCK KY
41632-9701
US
IV. Provider business mailing address
723 PARKWAY DR
SALYERSVILLE KY
41465-9740
US
V. Phone/Fax
- Phone: 606-884-5124
- Fax: 606-884-5000
- Phone: 606-349-6212
- Fax: 606-349-6216
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
BERTIE
KAYE
SALYER
Title or Position: PUBLIC HEALTH DIRECTOR
Credential:
Phone: 606-349-6212