Organization
KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
Active
Parent organization
KENTUCKY RIVER DISTRICT HEALTH DEPT.
Other names
Wolfe County Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENTUCKY RIVER DISTRICT HEALTH DEPT.
Authorized official
MR. ANTHONY SCOTT LOCKARD M.S.W., C.S.W. (PUBLIC HEALTH DIRECTOR IV)
(606) 439-2361
Entity
Organization
Contact information
Practice address
HIGHWAY 15 WEST, CAMPTON, KY 41301
(606) 668-3185
(606) 668-6076
Mailing address
441 GORMAN HOLLOW RD, HAZARD, KY 41701-2315
(606) 439-2361
(606) 439-0870
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15000680
HANDS MEDICAID
KY
05
—
20119012
—
KY
01
—
2815
GROUP NUMBER
KY
Enumeration date
07/28/2006
Last updated
09/18/2018
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