Provider Demographics
NPI:1417954397
Name:SCOTT CO HEALTH DEPT/CHILDREN'S HEALTH CLINIC
Entity Type:Organization
Organization Name:SCOTT CO HEALTH DEPT/CHILDREN'S HEALTH CLINIC
Other - Org Name:COUNTY HEALTH CLINIC FOR CHILDREN
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-752-8455
Mailing Address - Street 1:1642C W MCCLAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47170-1161
Mailing Address - Country:US
Mailing Address - Phone:812-752-4185
Mailing Address - Fax:812-752-6425
Practice Address - Street 1:1642C W MCCLAIN AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSBURG
Practice Address - State:IN
Practice Address - Zip Code:47170-1161
Practice Address - Country:US
Practice Address - Phone:812-752-4185
Practice Address - Fax:812-752-6425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health