Provider Demographics
NPI:1861477523
Name:LINCOLN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:LINCOLN COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-365-3106
Mailing Address - Street 1:44 HEALTH WAY
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40484-1423
Mailing Address - Country:US
Mailing Address - Phone:606-365-3106
Mailing Address - Fax:606-365-1640
Practice Address - Street 1:44 HEALTH WAY
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:KY
Practice Address - Zip Code:40484-1423
Practice Address - Country:US
Practice Address - Phone:606-365-3106
Practice Address - Fax:606-365-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20069019Medicaid
FLU0267Medicare UPIN