Provider Demographics
NPI:1962775569
Name:GREENUP COUNTY HEALTH DEPT
Entity type:Organization
Organization Name:GREENUP 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:CHRISTOOPHER
Authorized Official - Middle Name:G
Authorized Official - Last Name:CRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-473-9838
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:SOUTH SHORE
Mailing Address - State:KY
Mailing Address - Zip Code:41175-0007
Mailing Address - Country:US
Mailing Address - Phone:606-932-4546
Mailing Address - Fax:606-932-3885
Practice Address - Street 1:425 JAMES HANNAH DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175
Practice Address - Country:US
Practice Address - Phone:606-932-4546
Practice Address - Fax:606-932-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare