Provider Demographics
NPI:1689711590
Name:LEXINGTON-FAYETTE URBAN-COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:LEXINGTON-FAYETTE URBAN-COUNTY HEALTH DEPARTMENT
Other - Org Name:LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT PUBLIC HEALTH NORTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-288-2353
Mailing Address - Street 1:650 NEWTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-1113
Mailing Address - Country:US
Mailing Address - Phone:859-252-2371
Mailing Address - Fax:859-288-2469
Practice Address - Street 1:650 NEWTOWN PIKE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-1113
Practice Address - Country:US
Practice Address - Phone:859-252-2371
Practice Address - Fax:859-288-2469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20034039Medicaid
KY0376Medicare UPIN
KYFLU0102OtherFLU
KY0376OtherMEDICARE GROUP NUMBER