Organization
MADISON COUNTY HEALTH DEPARTMENT
Active
Parent organization
MADISON COUNTY HEALTH DEPARTMENT
Other names
BEREA HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON COUNTY HEALTH DEPARTMENT
Authorized official
NANCY M CREWE (DIRECTOR)
(859) 626-4241
Entity
Organization
Contact information
Practice address
1001 ACE DR, BEREA, KY 40403-1327
(859) 986-1192
Mailing address
214 BOGGS LN, RICHMOND, KY 40475-2522
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15900004
—
KY
05
—
20076014
—
KY
05
—
20076022
—
KY
05
—
71000008
—
KY
Enumeration date
05/18/2007
Last updated
07/10/2013
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