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NPI Code Detail

MEDICARE: CLARK COUNTY HEALTH DEPARTMENT

MEDICARE: CLARK COUNTY HEALTH DEPARTMENT
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
1251K00000XPublic Health or Welfare AgencyKRS424220KY

General Provider Information

NPI Number : 1578589495
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARK COUNTY HEALTH DEPARTMENT
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 : 859-744-0338
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 : 859-744-0338
Authorized Official
Title or Position : CLINIC MANAGER
Name : HANNA MCDONALD
Credential :
Telephone Number : 859-744-4482
Provider Enumeration Date : 07/14/2006
Last Update Date : 01/20/2026

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Directions to “CLARK COUNTY HEALTH DEPARTMENT ” Practice Location

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