Organization
GREEN RIVER DISTRICT HEALTH DEPARTMENT
Active
Other names
Southern Elementary School Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEL THOMPSON M.S.M. (ADMIN SERVICES MANAGER)
(270) 686-7747
Entity
Organization
Contact information
Practice address
3836 US HIGHWAY 231 S, BEAVER DAM, KY 42320-9467
(270) 274-3462
(270) 274-3462
Mailing address
1501 BRECKENRIDGE ST, PO BOX 309, OWENSBORO, KY 42303-1054
(270) 686-7747
(270) 926-9862
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
04/27/2010
Last updated
04/27/2010
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