Provider Demographics
NPI:1225204233
Name:BARREN RIVER DISTRICT HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:BARREN RIVER DISTRICT HEALTH DEPARTMENT
Other - Org Name:CAVERNA HIGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNT CLERK III
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-781-8039
Mailing Address - Street 1:1109 STATE ST
Mailing Address - Street 2:P O BOX 1157
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-2648
Mailing Address - Country:US
Mailing Address - Phone:270-781-2490
Mailing Address - Fax:270-796-8946
Practice Address - Street 1:2276 S DIXIE ST
Practice Address - Street 2:
Practice Address - City:HORSE CAVE
Practice Address - State:KY
Practice Address - Zip Code:42749-1460
Practice Address - Country:US
Practice Address - Phone:270-773-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare