Provider Demographics
NPI:1851438394
Name:ANDERSON COUNTY HEALTH DEPT
Entity Type:Organization
Organization Name:ANDERSON COUNTY HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-839-4551
Mailing Address - Street 1:1180 GLENSBORO ROAD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342
Mailing Address - Country:US
Mailing Address - Phone:502-839-4551
Mailing Address - Fax:502-839-8099
Practice Address - Street 1:1180 GLENSBORO ROAD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342
Practice Address - Country:US
Practice Address - Phone:502-839-4551
Practice Address - Fax:502-839-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14273251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY8362 KYMedicare ID - Type Unspecified