KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL INC. NPI 1366713000

NPI Information

NPI: 1366713000
Provider Name: KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.

Doing Business As: FOOTHILLS HEALTH AND WELLNESS CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 18D2033406

Address:
108 12TH ST
CLAY CITY, KY
ZIP 40312
Phone: (606) 663-9011
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KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC. is a federally qualified health center (fqhc) clinic center in Clay City, KY. KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC. NPI is 1366713000. The provider is registered as an organization entity type.
The provider Is Doing Business As Foothills Health And Wellness Center.

The provider's business location address is:

108 12TH ST
CLAY CITY, KY
ZIP 40312-979
Phone: (606) 663-9011
Fax: (606) 663-9012

The provider's authorized official is Ruth Ann Woolum .
The authorized official title is Project Director and has the following contact phone number (606) 663-9011.

The CLIA number assigned to this NPI record is 18D2033406 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 10/4/2021.

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 Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	700260	KENTUCKY	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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