Organization
MADISON COUNTY HEALTH DEPARTMENT
Active
Other names
B. Michael Caudill Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY M CREWE (DIRECTOR)
(859) 626-4241
Entity
Organization
Contact information
Practice address
1428 DR. ROBERT R. MARTIN BYPASS, RICHMOND, KY 40475
(859) 625-6172
Mailing address
216 BOGGS LANE, RICHMOND, KY 40475-2522
(859) 626-4241
(859) 623-5910
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
06/12/2009
Last updated
08/22/2013
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