Provider Demographics
NPI:1942793377
Name:BUFFALO TRACE DISTRICT HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:BUFFALO TRACE DISTRICT HEALTH DEPARTMENT
Other - Org Name:ROBERTSON CO HD SCHOOL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-564-9447
Mailing Address - Street 1:130 EAST SECOND STREET
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056
Mailing Address - Country:US
Mailing Address - Phone:606-564-9447
Mailing Address - Fax:606-564-7696
Practice Address - Street 1:1760 SARDIS ROAD
Practice Address - Street 2:
Practice Address - City:MT. OLIVET
Practice Address - State:KY
Practice Address - Zip Code:41064
Practice Address - Country:US
Practice Address - Phone:606-724-5421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BUFFALO TRACE DISTRICT HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare