Organization
MSU SCHOOL CLINIC
Active
Parent organization
GATEWAY DISTRICT HEALTH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY DISTRICT HEALTH DEPARTMENT
Authorized official
MR. GREGORY DEAN BREWER (DIRECTOR OF ADMINISTRATIVE SERVICES)
(606) 674-6396
Entity
Organization
Contact information
Practice address
42 TREADWAY DRIVE, OWINGSVILLE, KY 40360
(606) 674-6396
(606) 674-3071
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
Enumeration date
01/15/2014
Last updated
01/15/2014
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