Provider Demographics
NPI:1487834339
Name:FLEMING COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:FLEMING COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:O
Authorized Official - Last Name:FRYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-845-6511
Mailing Address - Street 1:194 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41041-9663
Mailing Address - Country:US
Mailing Address - Phone:606-845-6511
Mailing Address - Fax:606-845-0879
Practice Address - Street 1:194 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:FLEMINGSBURG
Practice Address - State:KY
Practice Address - Zip Code:41041-9663
Practice Address - Country:US
Practice Address - Phone:606-845-6511
Practice Address - Fax:606-845-0879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20035010Medicaid
KY15001126Medicaid
KY15001126Medicaid