Organization
LAKE CUMBERLAND DISTRICT HEALTH DEPT
Active
Other names
Col. William Casey Elem. School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN D. CRABTREE (EXECUTIVE DIRECTOR)
(606) 678-4761
Entity
Organization
Contact information
Practice address
220 GENERAL JOHN ADAIR DR, COLUMBIA, KY 42728-1876
(270) 384-3367
(270) 384-6668
Mailing address
500 BOURNE AVE, SOMERSET, KY 42501-1916
(606) 678-4761
(606) 676-9671
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20000030
—
KY
Enumeration date
02/20/2007
Last updated
08/22/2020
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