JOHNSON COUNTY HEALTH DEPARTMENT NPI 1770567588

NPI Information

NPI: 1770567588
Provider Name: JOHNSON COUNTY HEALTH DEPARTMENT
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 18D2294977

Address:
630 JAMES S TRIMBLE BLVD
PAINTSVILLE, KY
ZIP 41240
Phone: (606) 789-2590
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JOHNSON COUNTY HEALTH DEPARTMENT is a public health or welfare in Paintsville, KY. JOHNSON COUNTY HEALTH DEPARTMENT NPI is 1770567588. The provider is registered as an organization entity type.

The provider's business location address is:

630 JAMES S TRIMBLE BLVD
PAINTSVILLE, KY
ZIP 41240-026
Phone: (606) 789-2590
Fax: (606) 789-8888

The provider's authorized official is Sherry Lynn Borowski .
The authorized official title is Account Clerk Iii and has the following contact phone number (606) 789-2590.

The CLIA number assigned to this NPI record is 18D2294977 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 12/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20058012	MEDICAID	KENTUCKY
2	0746	MEDICARE PIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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