Provider Demographics
NPI:1104193200
Name:LEXINGTON-FAYETTE URBAN-COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:LEXINGTON-FAYETTE URBAN-COUNTY HEALTH DEPARTMENT
Other - Org Name:LOCUST TRACE AGRISCIENCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHEIF FINACIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:859-288-2353
Mailing Address - Street 1:650 NEWTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-1113
Mailing Address - Country:US
Mailing Address - Phone:859-288-2371
Mailing Address - Fax:859-288-2455
Practice Address - Street 1:252 LOCUST FARM RD
Practice Address - Street 2:LOCUST TACE AGRISCIENCE CENTER
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-8702
Practice Address - Country:US
Practice Address - Phone:859-288-2492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100196450Medicaid