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NPI Code Detail

MEDICARE: CLARK COUNTY HEALTH DEPART

MEDICARE: CLARK COUNTY HEALTH DEPART
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H8501OTHERKYPROGRAM SPECIALIST

General Provider Information

NPI Number : 1003948985
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARK COUNTY HEALTH DEPART
Provider Business Mailing Address
First Line : 400 PROFESSIONAL AVE
Second Line :
City : WINCHESTER
State : KY
Zip : 40391-1147
Country : US
Telephone Number : 859-744-4482
Fax Number : 859-737-2426
Provider Business Practice Location Address
First Line : 400 PROFESSIONAL AVE
Second Line :
City : WINCHESTER
State : KY
Zip : 40391-1147
Country : US
Telephone Number : 859-744-4482
Fax Number : 859-737-2426
Authorized Official
Title or Position : PROGRAM SPECIALIST
Name : MS. MELISSA LEANN SPARKS
Credential : BA
Telephone Number : 859-744-4482
Provider Enumeration Date : 03/09/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1578589495 — CLARK COUNTY HEALTH DEPARTMENT
Practice Location Address:
400 PROFESSIONAL AVE
WINCHESTER, KY
40391-1147
Practice Phone: 859-744-4482
Practice Fax: 859-744-0338
1770565681 — SHERRIE YVONNE BAILEY APRN
Practice Location Address:
400 PROFESSIONAL AVE
WINCHESTER, KY
40391-1147
Practice Phone: 859-744-4482
Practice Fax: 859-744-0338
1457407793 — SHAWNA D THOMERSON MSW, CSW
Practice Location Address:
400 PROFESSIONAL AVE
WINCHESTER, KY
40391-1147
Practice Phone: 859-744-4482
Practice Fax: 858-737-2426
1821136839 — MRS. MARGARET G COPENHAVER R.N
Practice Location Address:
400 PROFESSIONAL AVE
WINCHESTER, KY
40391-1147
Practice Phone: 859-744-4482
Practice Fax: 859-737-2426
1184946600 — MRS. AMY WOOD WILLIAMS RD, LD
Practice Location Address:
400 PROFESSIONAL AVE
WINCHESTER, KY
40391-1147
Practice Phone: 859-744-4482
Practice Fax: 859-744-0338
1588986012 — MRS. CARA JANE O'NEILL MS, RD, LD
Practice Location Address:
400 PROFESSIONAL AVE
WINCHESTER, KY
40391-1147
Practice Phone: 859-744-4482
Practice Fax: 859-744-0338

Directions to “CLARK COUNTY HEALTH DEPART ” Practice Location

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