Provider Demographics
NPI:1639204134
Name:PIKE COUNTY HEALTH DEPARTMENT BELFRY
Entity type:Organization
Organization Name:PIKE COUNTY HEALTH DEPARTMENT BELFRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-437-5500
Mailing Address - Street 1:PO BOX 854
Mailing Address - Street 2:
Mailing Address - City:BELFRY
Mailing Address - State:KY
Mailing Address - Zip Code:41514-0854
Mailing Address - Country:US
Mailing Address - Phone:606-353-7210
Mailing Address - Fax:
Practice Address - Street 1:25320 US HIGHWAY 119 N
Practice Address - Street 2:SUITE 101
Practice Address - City:BELFRY
Practice Address - State:KY
Practice Address - Zip Code:41514-9998
Practice Address - Country:US
Practice Address - Phone:606-353-7210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIKE COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-23
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20098026Medicaid
KY20098026Medicaid
KYOTH000Medicare UPIN