Provider Demographics
NPI:1225722531
Name:DYER COUNTY GOVERNMENT
Entity Type:Organization
Organization Name:DYER COUNTY GOVERNMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-286-7832
Mailing Address - Street 1:1400 HORNBROOK ST.
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024
Mailing Address - Country:US
Mailing Address - Phone:731-286-7832
Mailing Address - Fax:731-286-7836
Practice Address - Street 1:1400 HORNBROOK ST.
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024
Practice Address - Country:US
Practice Address - Phone:731-286-7832
Practice Address - Fax:731-286-7836
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYER CO. GOVERNMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN00023101OtherUNITED HEALTHCARE
TN4263551OtherTENN-CARE BLUECARE