Provider Demographics
NPI:1417139148
Name:MUHLENBERG COUNTY HEALTH DEPT
Entity type:Organization
Organization Name:MUHLENBERG COUNTY HEALTH DEPT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ONELL
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-754-4671
Mailing Address - Street 1:105 LEGION DR
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:KY
Mailing Address - Zip Code:42330-1414
Mailing Address - Country:US
Mailing Address - Phone:270-754-4671
Mailing Address - Fax:270-754-5149
Practice Address - Street 1:3300 US HWY 431 SO
Practice Address - Street 2:
Practice Address - City:BEECHMONT
Practice Address - State:KY
Practice Address - Zip Code:42323
Practice Address - Country:US
Practice Address - Phone:270-754-4671
Practice Address - Fax:270-754-5149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20000949Medicaid