Organization
PURCHASE DISTRICT HEALTH DEPARTMENT
Active
Other names
EPSDT
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JO HAYS (FINANCE ADMINISTRATOR)
(270) 444-9625
Entity
Organization
Contact information
Practice address
916 KENTUCKY AVE, PADUCAH, KY 42003-1955
(270) 444-9625
Mailing address
916 KENTUCKY AVE, PADUCAH, KY 42003-1955
(270) 444-9625
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45344074
—
KY
Enumeration date
04/23/2007
Last updated
08/22/2020
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