Organization
JOHNSON COUNTY HEALTH DEPARTMENT
Active
Parent organization
JOHNSON COUNTY HEALTH DEPARTMENT
Other names
JOHNSON-MAGOFFIN COUNTY HHA
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNSON COUNTY HEALTH DEPARTMENT
Authorized official
DALETTA CAMPBELL RN (NURSE ADMINISTRATOR)
(606) 789-2596
Entity
Organization
Contact information
Practice address
630 JAMES TRIMBLE BLVD, PAINTSVILLE, KY 41240
(606) 789-2596
(606) 789-3244
Mailing address
630 JAMES TRIMBLE BLVD, PAINTSVILLE, KY 41240
(606) 789-2596
(606) 789-3244
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
KY150046
KY
251E00000X
Home Health Agency
Primary
150046
KY
251S00000X
Community/Behavioral Health Agency
KY150046
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265490601
NPI
KY
05
—
34002584
—
KY
01
—
42005819
HCBW
KY
01
—
45344140
EPSDT
KY
Enumeration date
05/03/2006
Last updated
04/27/2022
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