Provider Demographics
NPI:1972791648
Name:HOPKINS COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HOPKINS COUNTY HEALTH DEPARTMENT
Other - Org Name:WEST BROADWAY SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEACH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:270-821-5242
Mailing Address - Street 1:PO BOX 1266
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-0026
Mailing Address - Country:US
Mailing Address - Phone:270-821-5242
Mailing Address - Fax:270-825-0138
Practice Address - Street 1:127 W BROADWAY
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-2444
Practice Address - Country:US
Practice Address - Phone:270-821-5242
Practice Address - Fax:270-825-0138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20001491Medicaid
KY20001491Medicaid