Provider Demographics
NPI:1699897546
Name:LINCOLN COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:LINCOLN COUNTY HEALTH DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-365-7287
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:305 DANVILLE AVE
Mailing Address - City:STANFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40484-0265
Mailing Address - Country:US
Mailing Address - Phone:606-365-7287
Mailing Address - Fax:606-365-8911
Practice Address - Street 1:3425 HIGHWAY 198
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:KY
Practice Address - Zip Code:40448
Practice Address - Country:US
Practice Address - Phone:606-346-4741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20000824Medicare UPIN
KYFLU0267Medicare ID - Type Unspecified
KYC74576Medicare UPIN