Organization
PURCHASE DISTRICT HEALTH DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD K. KOSTER (DIRECTOR OF PUBLIC HEALTH)
(270) 444-9625
Entity
Organization
Contact information
Practice address
370 S WASHINGTON STREET, CLINTON, KY 42031
(270) 653-6110
(270) 653-6523
Mailing address
PO BOX 2357, PADUCAH, KY 42002
(270) 444-9625
(270) 575-5458
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20053013
—
KY
01
—
600000514
MEDICARE RAILROAD
—
01
—
FLU0253
MEDICARE
—
Enumeration date
06/26/2006
Last updated
04/05/2018
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