Provider Demographics
NPI:1548527773
Name:MIDDLESBORO HEALTH DEPARTMENT
Entity type:Organization
Organization Name:MIDDLESBORO HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-337-7046
Mailing Address - Street 1:111 N 21ST ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLESBORO
Mailing Address - State:KY
Mailing Address - Zip Code:40965-1375
Mailing Address - Country:US
Mailing Address - Phone:606-248-2862
Mailing Address - Fax:606-248-2876
Practice Address - Street 1:111 N 21ST ST
Practice Address - Street 2:
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965-1375
Practice Address - Country:US
Practice Address - Phone:606-248-2862
Practice Address - Fax:606-248-2876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare