Provider Demographics
NPI:1457673253
Name:GREENUP COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:GREENUP COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALLTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:GALE
Authorized Official - Last Name:CRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-473-9838
Mailing Address - Street 1:PO BOX 377
Mailing Address - Street 2:
Mailing Address - City:GREENUP
Mailing Address - State:KY
Mailing Address - Zip Code:41144-0377
Mailing Address - Country:US
Mailing Address - Phone:606-473-9838
Mailing Address - Fax:606-473-6405
Practice Address - Street 1:800 CENTER AVE
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:KY
Practice Address - Zip Code:41183-9336
Practice Address - Country:US
Practice Address - Phone:606-836-8014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare