Healthcare Provider Details

I. General information

NPI: 1639264195
Provider Name (Legal Business Name): MADISON COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 BOGGS LANE
RICHMOND KY
40475
US

IV. Provider business mailing address

214 BOGGS LANE
RICHMOND KY
40403
US

V. Phone/Fax

Practice location:
  • Phone: 859-623-7312
  • Fax: 859-623-5910
Mailing address:
  • Phone: 859-623-7312
  • Fax: 859-623-5910

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: NIKITA VUNDI
Title or Position: DIRECTOR
Credential:
Phone: 859-626-4241