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Organization

PURCHASE DISTRICT HEALTH DEPARTMENT

Active
Other names
Fulton County School Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD K. KOSTER (PUBLIC HEALTH DIRECTOR)
(270) 444-9625
Entity
Organization

Contact information

Practice address
2750 MOSCOW AVE, HICKMAN, KY 42050-2046
(270) 236-2070
Mailing address
PO BOX 2357, PADUCAH, KY 42002-2357
(270) 444-9625

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20038014
KY
Enumeration date
02/14/2007
Last updated
07/10/2019
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