Provider Demographics
NPI:1164686846
Name:MAGOFFIN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:MAGOFFIN COUNTY HEALTH DEPARTMENT
Other - Org Name:SOUTH MAGOFFIN ELEMENTARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERTIE
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:SALYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-349-6212
Mailing Address - Street 1:723 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:SALYERSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41465-9740
Mailing Address - Country:US
Mailing Address - Phone:606-349-6212
Mailing Address - Fax:606-349-6216
Practice Address - Street 1:171 HALF MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SALYERSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41465-9449
Practice Address - Country:US
Practice Address - Phone:606-884-7325
Practice Address - Fax:606-884-7322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000059385OtherBLUECROSS/BLUE SHIELD
KY000000059385OtherBLUECROSS/BLUE SHIELD