Healthcare Provider Details

I. General information

NPI: 1679502272
Provider Name (Legal Business Name): THREE RIVERS DISTRICT HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 OLD MONTEREY RD
OWENTON KY
40359-9030
US

IV. Provider business mailing address

60 OLD MONTEREY RD
OWENTON KY
40359-9030
US

V. Phone/Fax

Practice location:
  • Phone: 502-484-3412
  • Fax: 502-484-0864
Mailing address:
  • Phone: 502-484-3412
  • Fax: 502-484-0864

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: DR. GEORGIA F HEISE
Title or Position: DISTRICT DIRECTOR
Credential: DRPH
Phone: 502-484-3412