Organization
LITTLE SANDY DISTRICT HEALTH DEPARTMENT
Active
Other names
Adolescent Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA L THORNBERRY (ACCOUNT CLERK)
(606) 474-6685
Entity
Organization
Contact information
Practice address
WARRIOR DR, OLIVE HILL, KY 41164-0098
(606) 286-2524
(606) 286-8556
Mailing address
PO BOX 909, GRAYSON, KY 41143-0909
(606) 474-6685
(606) 474-0256
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306826094
NPI
—
05
—
20022042
—
KY
Enumeration date
11/28/2007
Last updated
06/13/2008
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