# PENNYRILE DISTRICT HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PENNYRILE DISTRICT HEALTH DEPARTMENT
- **Other names:** South Livingston Co Mustang Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205018652
- **Legal business name:** PENNYRILE DISTRICT HEALTH DEPARTMENT
- **Authorized official:** MR. JAMES M TOLLEY (PUBLIC HEALTH DIRECTOR)
- **Authorized official phone:** (270) 388-9747

## Contact information

- **Practice address:** 850 CUTOFF RD, SMITHLAND, KY 42081-8914
- **Practice address phone:** (270) 928-3915
- **Practice address fax:** (270) 928-3915
- **Mailing address:** PO BOX 770, EDDYVILLE, KY 42038-0770
- **Mailing address phone:** (270) 388-9747
- **Mailing address fax:** (270) 388-7749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | KY | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 11/28/2007