Organization
CLARK COUNTY HEALTH DEPARTMENT
Active
Other names
Clark County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A KISSICK (DIRECTOR)
(859) 744-4482
Entity
Organization
Contact information
Practice address
273 SHOPPERS DR, WINCHESTER, KY 40391-2806
(859) 744-1488
(859) 737-2618
Mailing address
400 PROFESSIONAL AVE, WINCHESTER, KY 40391-1147
(859) 744-4482
(859) 744-0338
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
42001255
KY
252Y00000X
Early Intervention Provider Agency
45344264
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002666
CHA
—
01
—
000000054785
ANTHEM BC/BS
—
01
—
187083
UNICARE
—
05
—
34002253
—
KY
05
—
42001255
—
KY
05
—
45344264
—
KY
01
—
787
TRI CARE
—
Enumeration date
01/18/2006
Last updated
04/29/2019
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