Organization
CUMBERLAND VALLEY DIST. HEALTH DEPT.
Active
Other names
Rockcastle Co.-Mt. Vernon Elem.
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN JOHNSON (ADMINISTRATOR)
(606) 598-5564
Entity
Organization
Contact information
Practice address
530 WILLIAMS ST, MOUNT VERNON, KY 40456-2904
(606) 256-2953
(606) 256-5722
Mailing address
PO BOX 158, MANCHESTER SQUARE SHOPPING CTR. ROOM 212, MANCHESTER, KY 40962-0158
(606) 598-5564
(606) 598-6615
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100002650
—
KY
Enumeration date
09/06/2007
Last updated
09/06/2007
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