MEDICARE: LEXINGTON-FAYETTE URBAN-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
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1932755774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON-FAYETTE URBAN-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	:	859-288-2341
Fax Number	:	859-288-2469

Provider Business Practice Location Address
First Line	:	4801 ATHENS BOONESBORO RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509
Country	:	US
Telephone Number	:	859-381-2990
Fax Number	:

Authorized Official
Title or Position	:	BILL ING TEAM LEADER
Name	:	MELANIE ANN FISH
Credential	:
Telephone Number	:	859-288-2341

Provider Enumeration Date	:	08/16/2019
Last Update Date	:	08/16/2019

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