Organization
GREEN RIVER DISTRICT HEALTH DEPARTMENT
Active
Other names
Sorgho Elementary School Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEL THOMPSON M.S.M. (ADMINISTRATIVE SERVICES MANAGER)
(270) 686-7747
Entity
Organization
Contact information
Practice address
5390 HWY 56, OWENSBORO, KY 42301
(270) 852-7470
(270) 852-7480
Mailing address
1501 BRECKENRIDGE ST, PO BOX 309, OWENSBORO, KY 42303-1054
(270) 868-7747
(270) 926-9862
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
06/10/2009
Last updated
06/10/2009
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