Organization
LEWIS COUNTY HEALTH DEPARTMENT
Active
Parent organization
LEWIS COUNTY HEALTH DEPARTMENT
Other names
Lewis County Central Elementary
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS COUNTY HEALTH DEPARTMENT
Authorized official
MRS. ANITA JO BERTRAM L.S.W., L.N.H.A (PUBLIC HEALTH DIRECTOR)
(606) 796-2632
Entity
Organization
Contact information
Practice address
86 WALTER ST, VANCEBURG, KY 41179-5445
(606) 796-2632
(606) 796-9285
Mailing address
PO BOX 219, 185 COMMERICAL DRIVE, VANCEBURG, KY 41179-0219
(606) 796-2632
(606) 796-9285
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20068011
—
KY
01
—
FLU0254
MEDICARE ID-TYPE UNSPECIFIED
KY
Enumeration date
10/20/2009
Last updated
10/20/2009
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