Organization
PENNYRILE DISTRICT HEALTH DEPARTMENT
Active
Parent organization
PENNYRILE DISTRICT HEALTH DEPARTMENT
Other names
South Livingston Co Mustang Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENNYRILE DISTRICT HEALTH DEPARTMENT
Authorized official
MR. JAMES M TOLLEY (PUBLIC HEALTH DIRECTOR)
(270) 388-9747
Entity
Organization
Contact information
Practice address
850 CUTOFF RD, SMITHLAND, KY 42081-8914
(270) 928-3915
(270) 928-3915
Mailing address
PO BOX 770, EDDYVILLE, KY 42038-0770
(270) 388-9747
(270) 388-7749
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100003660
—
KY
Enumeration date
11/28/2007
Last updated
11/28/2007
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