Provider Demographics
NPI:1427025063
Name:MAGOFFIN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:MAGOFFIN COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BERTIE
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:SALYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-349-6212
Mailing Address - Street 1:723 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:SALYERSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41465-9740
Mailing Address - Country:US
Mailing Address - Phone:606-349-6212
Mailing Address - Fax:606-349-6216
Practice Address - Street 1:723 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:SALYERSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41465-9740
Practice Address - Country:US
Practice Address - Phone:606-349-6212
Practice Address - Fax:606-349-6216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20077012Medicaid
KYQ10571Medicare UPIN
KYS62382Medicare UPIN
KY0979Medicare ID - Type Unspecified
KY20077012Medicaid