Provider Demographics
NPI:1023011509
Name:ASHLAND BOYD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:ASHLAND BOYD COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR II
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-329-9444
Mailing Address - Street 1:PO BOX 4069
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-4069
Mailing Address - Country:US
Mailing Address - Phone:606-329-9444
Mailing Address - Fax:606-324-5423
Practice Address - Street 1:2916 HOLT ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-4080
Practice Address - Country:US
Practice Address - Phone:606-324-7181
Practice Address - Fax:606-324-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2007-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYNOT REQUIRED251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1023011509OtherNPI
KY1245234913OtherNPI
KY1639358237OtherNPI
KY1164526489OtherNPI
KY1568641173OtherNPI
KY1972507465OtherNPI
KY0788802Medicare PIN
KY788804Medicare PIN
KY1972507465OtherNPI
KY1639358237OtherNPI
KYQ10837Medicare UPIN
KYQ10836Medicare UPIN
KYG62131Medicare UPIN
KY1245234913OtherNPI