Organization
PURCHASE DISTRICT HEALTH DEPT
Active
Other names
Graves County Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE JO HAYS (FINANCE ADMINISTRATOR)
(270) 444-9625
Entity
Organization
Contact information
Practice address
100 EAST LOCHRIDGE STREET, MAYFIELD, KY 42066
(270) 247-3553
(270) 247-0391
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
—
20042016
—
KY
01
—
FLU0252
MEDICARE
—
Enumeration date
06/26/2006
Last updated
12/12/2007
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