Provider Demographics
NPI:1962651547
Name:PIKE COUNTY HEALTH DEPARTMENT RUNYON
Entity Type:Organization
Organization Name:PIKE COUNTY HEALTH DEPARTMENT RUNYON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR II
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-437-5500
Mailing Address - Street 1:119 RIVER DR
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-1685
Mailing Address - Country:US
Mailing Address - Phone:606-437-5500
Mailing Address - Fax:
Practice Address - Street 1:24 RUNYON BRANCH RD
Practice Address - Street 2:
Practice Address - City:PINSONFORK
Practice Address - State:KY
Practice Address - Zip Code:41555-7400
Practice Address - Country:US
Practice Address - Phone:606-353-7483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIKE COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYFLU0090Medicare PIN