Organization · Type 2 NPI

Pennyrile District Health Department

Public Health or Welfare Agency · Marion, KY

NPI number 1396927745 Active

Practice location

120 Autumn Ln
Marion, KY 42064-1877

Call (270) 388-9747 Map

Fax (270) 388-9747

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...

Another provider at this address

Graves County Health DepartmentPublic Health or Welfare Agency Marion, KY NPI 1417365164

Other public health or welfare agency providers in Marion

See all in Marion →

NPI record

NPI: 1396927745
Entity type: Organization (Type 2)
Issued: Nov 28, 2007
Last updated: Oct 24, 2023
Status: Active
Subpart: Yes of Pennyrile District Health Department

Other names

<unavail>
Crittenden County Firecracker Star Clinic · doing business as
Crittenden County Firecracker Star Clinic · doing business as

Authorized official

Elisha Kite
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 1396927745

Pennyrile District Health Department's National Provider Identifier is 1396927745, issued on Nov 28, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Marion, KY. The record was last updated on Oct 24, 2023.