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NPI Code Detail

MEDICARE: LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT

MEDICARE: LEXINGTON FAYETTE 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 Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902023195
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT
Provider Business Mailing Address
First Line : 650 NEWTOWN PIKE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-1113
Country : US
Telephone Number : 859-252-2371
Fax Number :
Provider Business Practice Location Address
First Line : 551 PARKSIDE DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-1726
Country : US
Telephone Number : 859-381-3512
Fax Number :
Authorized Official
Title or Position : CLINIC SERVICES TEAM LEADER
Name : CARRIE WHITE
Credential : BBA
Telephone Number : 859-252-2371
Provider Enumeration Date : 04/19/2007
Last Update Date : 12/04/2007

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Directions to “LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT ” Practice Location

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