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Organization

GATEWAY DISTRICT HEALTH DEPARTMENT

Active
Other names
Elliott County Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY D BREWER (DIRECTOR OF ADMINISTRATIVE SERVICES)
(606) 674-6396
Entity
Organization

Contact information

Practice address
109 DAVID BLAIR BLVD, SANDY HOOK, KY 41171
(606) 738-5205
(606) 738-6530
Mailing address
PO BOX 555, OWINGSVILLE, KY 40360-0555
(606) 674-6396
(606) 674-3071

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558561910
SANDRA ELLINGTON MS, RD
KY
01
1588668339
DR. VAUGHN ESKEW
KY
01
1811246143
JESSICA LYKINS APRN
KY
Enumeration date
11/04/2016
Last updated
11/04/2016
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