NPI

Green River District Health Department

Doing business as Providence Elementary Health Clinic. NPI 1568654432

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-08-15
Last updated
2008-12-23

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Specialties

Licenses

License KY
Number not in the file

Location

Practice location
470 S Broadway St
City
Providence KY
Postal code
42450-1642
Phone
(270) 667-7041

Organization contact

Name
Angel Thompson
Title
Administrative Service Manager
Phone
(270) 686-7747

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Providence, KY. 55 records in the public file.

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