Provider Demographics
NPI:1356665871
Name:BONDURANT MIDDLE SCHOOL CLINIC
Entity Type:Organization
Organization Name:BONDURANT MIDDLE SCHOOL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MSN
Authorized Official - Phone:502-564-4269
Mailing Address - Street 1:100 GLENNS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-2473
Mailing Address - Country:US
Mailing Address - Phone:502-564-4269
Mailing Address - Fax:502-564-9640
Practice Address - Street 1:300 BONDURANT DRIVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4143
Practice Address - Country:US
Practice Address - Phone:502-875-8440
Practice Address - Fax:502-564-9640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANKLIN COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare