Healthcare Provider Details

I. General information

NPI: 1053385252
Provider Name (Legal Business Name): GREEN RIVER DISTRICT HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 CLAY ST OHIO COUNTY HEALTH CENTER
HARTFORD KY
42347-1637
US

IV. Provider business mailing address

PO BOX 309 GREEN RIVER DISTRICT HEALTH DEPARTMENT
OWENSBORO KY
42302-0309
US

V. Phone/Fax

Practice location:
  • Phone: 270-298-3663
  • Fax: 270-298-4777
Mailing address:
  • Phone: 270-686-7747
  • Fax: 270-926-9862

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. ANGEL THOMPSON
Title or Position: ADMINISTRATIVE SERVICES MANAGER
Credential: M.S.M.
Phone: 270-686-7747