TRIAD HEALTH SYSTEMS INC. NPI 1104248962

NPI Information

NPI: 1104248962
Provider Name: TRIAD HEALTH SYSTEMS INC.
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Other Name: TRIAD HEALTH SYSTEMS CARROLLTON CLINIC
CLIA Number: 18D2035306
Address: 329 FLOYD DR
CARROLLTON, KY
ZIP 41008
Phone: (502) 732-1082

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NPI Details

TRIAD HEALTH SYSTEMS INC. is a federally qualified health center (fqhc) clinic center in Carrollton, KY. TRIAD HEALTH SYSTEMS INC. NPI is 1104248962. The provider is registered as an organization entity type.
The provider Other Name Is Triad Health Systems Carrollton Clinic.

The provider's business location address is:

329 FLOYD DR
CARROLLTON, KY
ZIP 41008-261
Phone: (502) 732-1082
Fax: (859) 567-1253

The provider's authorized official is Jessica Wheeler .
The authorized official title is General Manager and has the following contact phone number (859) 567-1271.

The CLIA number assigned to this NPI record is 18D2035306 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2014 and was last updated on 11/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	261Q00000X	Clinic/Center			No
2	261QP2300X	Clinic/Center	Primary Care	KENTUCKY	No
3	363LF0000X	Nurse Practitioner	Family	KENTUCKY	No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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