Provider Demographics
NPI:1730311028
Name:LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT
Other - Org Name:PROJECT AIM AND REBOUND
Other - Org Type:Other Name
Authorized Official - Title/Position:CHEIF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODGER
Authorized Official - Middle Name:
Authorized Official - Last Name:AMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-252-2371
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:859-288-2359
Practice Address - Street 1:701 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1670
Practice Address - Country:US
Practice Address - Phone:859-381-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare