Provider Demographics
NPI:1306826094
Name:LITTLE SANDY DISTRICT HEALTH DEPT
Entity Type:Organization
Organization Name:LITTLE SANDY DISTRICT HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-474-6685
Mailing Address - Street 1:PO BOX 909
Mailing Address - Street 2:300 W MAIN RM 101
Mailing Address - City:GRAYSON
Mailing Address - State:KY
Mailing Address - Zip Code:41143-0909
Mailing Address - Country:US
Mailing Address - Phone:606-474-6685
Mailing Address - Fax:606-474-0256
Practice Address - Street 1:300 W MAIN
Practice Address - Street 2:RM 101
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-0909
Practice Address - Country:US
Practice Address - Phone:606-474-6685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare