Organization
MADISON COUNTY HEALTH DEPARTMENT
Active
Other names
Richmond Headstart
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY M CREWE (DIRECTOR)
(859) 626-4241
Entity
Organization
Contact information
Practice address
301 BELLEVUE DR., RICHMOND, KY 40475-1261
(859) 626-4502
Mailing address
216 BOGGS LANE, RICHMOND, KY 40475-2522
(859) 626-4502
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20901211
KENTUCKY MEDICAID PROVIDER NUMBER
KY
Enumeration date
11/19/2008
Last updated
08/22/2013
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