Provider Demographics
NPI:1356508105
Name:FLOYD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:FLOYD COUNTY HEALTH DEPARTMENT
Other - Org Name:BETSY LAYNE HIGH SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THURSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SLOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-886-2788
Mailing Address - Street 1:283 GOBLE STREET
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653
Mailing Address - Country:US
Mailing Address - Phone:606-886-2788
Mailing Address - Fax:606-886-7989
Practice Address - Street 1:554 BOBCAT BLVD
Practice Address - Street 2:
Practice Address - City:STANVILLE
Practice Address - State:KY
Practice Address - Zip Code:41659-7010
Practice Address - Country:US
Practice Address - Phone:606-886-2788
Practice Address - Fax:606-886-7989
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLOYD COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20036018Medicaid
KY20036018Medicaid
KYFLU0230Medicare PIN