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AUDUBON AREA COMMUNITY CARE CLINIC INC. NPI 1114462272


NPI Information

NPI: 1114462272
Provider Name: AUDUBON AREA COMMUNITY CARE CLINIC, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 18D2145391

Address:
750 SALEM DR STE 2
OWENSBORO, KY
ZIP 42303
Phone: (270) 686-6040
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AUDUBON AREA COMMUNITY CARE CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Owensboro, KY. AUDUBON AREA COMMUNITY CARE CLINIC, INC. NPI is 1114462272. The provider is registered as an organization entity type.

The provider's business location address is:

750 SALEM DR STE 2
OWENSBORO, KY
ZIP 42303-758
Phone: (270) 686-6040
Fax: (270) 686-6050

The provider's authorized official is Samantha Taylor Kaai .
The authorized official title is Clinic Program Director and has the following contact phone number (270) 686-6040.

The CLIA number assigned to this NPI record is 18D2145391 - other - non-profit mobile waived with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2016 and was last updated on 2/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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: 4/28/2024

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