Organization · Type 2 NPI

Pennyrile District Health Department

Public Health or Welfare Agency · Smithland, KY

NPI number 1205018652 Active

Practice location

850 Cutoff Rd
Smithland, KY 42081-8914

Call (270) 928-3915 Map

Fax (270) 928-3915

Mailing address

PO Box 770
Eddyville, KY 42038-0770

Specialties and licenses

Taxonomy	Code	License
Public Health or Welfare Agency Primary	251K00000X	None listed

Public Health or Welfare Agency: Definition to come...

2 other providers at this address

ArcareFederally Qualified Health Center (FQHC) Smithland, KY NPI 1124696695
Graves County Health DepartmentPublic Health or Welfare Agency Smithland, KY NPI 1689082315

Other public health or welfare agency providers in Smithland

See all in Smithland →

NPI record

NPI: 1205018652
Entity type: Organization (Type 2)
Issued: Nov 28, 2007
Last updated: Nov 28, 2007
Status: Active
Subpart: Yes of Pennyrile District Health Department

Other names

<unavail>
South Livingston Co Mustang Clinic · doing business as

Authorized official

Mr. James M Tolley
Public Health Director
(270) 388-9747

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205018652

Pennyrile District Health Department's National Provider Identifier is 1205018652, issued on Nov 28, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Smithland, KY. The record was last updated on Nov 28, 2007.