Provider Demographics
NPI:1013191808
Name:MONROE COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:MONROE COUNTY HEALTH DEPARTMENT
Other - Org Name:TOMPKINSVILLE ELEMENTARY SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM PUBLIC HEALTH ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-487-6782
Mailing Address - Street 1:452 EAST 4TH ST.
Mailing Address - Street 2:PO BOX 247
Mailing Address - City:TOMPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42167-0247
Mailing Address - Country:US
Mailing Address - Phone:270-487-6782
Mailing Address - Fax:270-487-5457
Practice Address - Street 1:420 ELEMENTARY SCHOOL RD.
Practice Address - Street 2:
Practice Address - City:TOMPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42167
Practice Address - Country:US
Practice Address - Phone:270-487-6472
Practice Address - Fax:270-487-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare