FAMILY HEALTH CENTERS INC. NPI 1518963230

NPI Information

NPI: 1518963230
Provider Name: FAMILY HEALTH CENTERS, INC.

Other Name: FAMILY HEALTH CENTER PORTLAND

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212
Phone: (502) 774-8631
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FAMILY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Louisville, KY. FAMILY HEALTH CENTERS, INC. NPI is 1518963230. The provider is registered as an organization entity type.
The provider Other Name Is Family Health Center Portland.

The provider's business location address is:

2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212-033
Phone: (502) 774-8631
Fax: (502) 776-8912

The provider's authorized official is Bart Irwin .
The authorized official title is Ceo and has the following contact phone number (502) 774-8631.

The CLIA number assigned to this NPI record is 18D1070286 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 7/25/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	700013	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	31000052	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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