Provider Demographics
NPI:1285885442
Name:PIKE COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:PIKE COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:HONESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:FENOL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:812-354-8426
Mailing Address - Street 1:801 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47567-1249
Mailing Address - Country:US
Mailing Address - Phone:812-354-8797
Mailing Address - Fax:812-354-2532
Practice Address - Street 1:801 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47567-1249
Practice Address - Country:US
Practice Address - Phone:812-354-8797
Practice Address - Fax:812-354-2532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare