Provider Demographics
NPI:1821046129
Name:FLOYD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:FLOYD COUNTY HEALTH DEPARTMENT
Other - Org Name:BETSY LAYNE BRANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THURSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SLOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-886-2788
Mailing Address - Street 1:433 GEORGE RD
Mailing Address - Street 2:
Mailing Address - City:BETSY LAYNE
Mailing Address - State:KY
Mailing Address - Zip Code:41605-7013
Mailing Address - Country:US
Mailing Address - Phone:606-478-5454
Mailing Address - Fax:606-478-5454
Practice Address - Street 1:433 GEORGE RD
Practice Address - Street 2:
Practice Address - City:BETSY LAYNE
Practice Address - State:KY
Practice Address - Zip Code:41605-7013
Practice Address - Country:US
Practice Address - Phone:606-478-5454
Practice Address - Fax:606-478-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20036018Medicaid
KYFLU0230Medicare ID - Type Unspecified
KY20036018Medicaid