Provider Demographics
NPI:1659551463
Name:HOPKINS COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HOPKINS COUNTY HEALTH DEPARTMENT
Other - Org Name:EARLINGTON ELEMENTARY SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-821-5242
Mailing Address - Street 1:PO BOX 1266
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-0026
Mailing Address - Country:US
Mailing Address - Phone:270-825-6154
Mailing Address - Fax:
Practice Address - Street 1:310 W THOMPSON ST
Practice Address - Street 2:
Practice Address - City:EARLINGTON
Practice Address - State:KY
Practice Address - Zip Code:42410-1483
Practice Address - Country:US
Practice Address - Phone:270-821-5242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2005406000Medicaid
KY2005406000Medicaid