Provider Demographics
NPI:1235113242
Name:HOPKINS COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HOPKINS COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:N
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-821-5242
Mailing Address - Street 1:PO BOX 1266
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-0026
Mailing Address - Country:US
Mailing Address - Phone:270-821-5242
Mailing Address - Fax:270-825-0138
Practice Address - Street 1:412 NORTH KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-0026
Practice Address - Country:US
Practice Address - Phone:270-821-5242
Practice Address - Fax:270-825-0138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223D0001X
KY251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000049218OtherBLUE CROSS BLUE SHIELD
600000538OtherMEDICARE RAILROAD
0728701OtherBEVERLY JONES ARNP PIN
0728702OtherPATRICIA VESPIE ARNP PIN
KY20054011Medicaid
7287OtherHOPKINS CO HEALTH DEPT GR
0728703OtherDAN MARTIN MD PIN
0728704OtherJENNIFER JACKSON MD PIN
C74785Medicare UPIN
7287OtherHOPKINS CO HEALTH DEPT GR
600000538OtherMEDICARE RAILROAD
P27286Medicare UPIN