# MSU SCHOOL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GATEWAY DISTRICT HEALTH DEPARTMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831511583
- **Legal business name:** GATEWAY DISTRICT HEALTH DEPARTMENT
- **Authorized official:** MR. GREGORY DEAN BREWER (DIRECTOR OF ADMINISTRATIVE SERVICES)
- **Authorized official phone:** (606) 674-6396

## Contact information

- **Practice address:** 42 TREADWAY DRIVE, OWINGSVILLE, KY 40360
- **Practice address phone:** (606) 674-6396
- **Practice address fax:** (606) 674-3071
- **Mailing address:** PO BOX 555, OWINGSVILLE, KY 40360-0555
- **Mailing address phone:** (606) 674-6396
- **Mailing address fax:** (606) 674-3071

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2014
- **Last updated:** 01/15/2014