Provider Demographics
NPI:1235892928
Name:LEXINGTON-FAYETTE URBAN-COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:LEXINGTON-FAYETTE URBAN-COUNTY HEALTH DEPARTMENT
Other - Org Name:GEORGE WASHINGTON CARVER STEM ACADEMY FOR BOYS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING TEAM LEADER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-288-2341
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:859-288-2341
Mailing Address - Fax:
Practice Address - Street 1:123 EAST SIXTH
Practice Address - Street 2:LEXINGTON
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508
Practice Address - Country:US
Practice Address - Phone:859-381-4670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare