Healthcare Provider Details

I. General information

NPI: 1467419283
Provider Name (Legal Business Name): OWEN COUNTY FISCAL COURT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 EAST BLANTON STREET
OWENTON KY
40359
US

IV. Provider business mailing address

100 NORTH THOMAS STREET
OWENTON KY
40359
US

V. Phone/Fax

Practice location:
  • Phone: 502-484-5214
  • Fax: 502-484-3958
Mailing address:
  • Phone: 502-484-3405
  • Fax: 502-484-1004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1141
License Number StateKY

VIII. Authorized Official

Name: RUSSELL T WOODYARD
Title or Position: COUNTY EXECUTIVE
Credential:
Phone: 502-484-3405