Provider Demographics
NPI:1548344807
Name:CHRISTIAN COUNTY HEALTH DEPT
Entity type:Organization
Organization Name:CHRISTIAN COUNTY HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-887-4160
Mailing Address - Street 1:1700 CANTON ST
Mailing Address - Street 2:PO BX 647
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-1923
Mailing Address - Country:US
Mailing Address - Phone:270-887-4160
Mailing Address - Fax:270-887-4165
Practice Address - Street 1:1700 CANTON ST
Practice Address - Street 2:PO BX 647
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-1923
Practice Address - Country:US
Practice Address - Phone:270-887-4160
Practice Address - Fax:270-887-4165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty