Organization
GREEN RIVER DISTRICT HEALTH DEPARTMENT
Active
Other names
OCTC-WKU Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEL THOMPSON M.S.M. (ADMINISTRATIVE SERVICES MANAGER)
(270) 686-7747
Entity
Organization
Contact information
Practice address
4800 NEW HARTFORD RD, OWENSBORO, KY 42303-1800
(270) 686-4668
(270) 686-4687
Mailing address
1501 BRECKENRIDGE ST, PO BOX 309, OWENSBORO, KY 42303-1054
(270) 686-7747
(270) 926-9862
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
12/03/2009
Last updated
12/03/2009
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