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COMMUNITY FAMILY CLINIC PLLC NPI 1598963910


NPI Information

NPI: 1598963910
Provider Name: COMMUNITY FAMILY CLINIC PLLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D2058343

Address:
125 FOXGLOVE DR
SUITE D
MT STERLING, KY
ZIP 40353
Phone: (859) 498-3333
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COMMUNITY FAMILY CLINIC PLLC is a rural health clinic center in Mt Sterling, KY. COMMUNITY FAMILY CLINIC PLLC NPI is 1598963910. The provider is registered as an organization entity type.

The provider's business location address is:

125 FOXGLOVE DR
SUITE D
MT STERLING, KY
ZIP 40353-735
Phone: (859) 498-3333
Fax: (859) 498-3332

The provider's authorized official is Taufik Kassis .
The authorized official title is Owner and has the following contact phone number (606) 768-9190.

The CLIA number assigned to this NPI record is 18D2058343 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 7/20/2023.


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
1261QP2300XClinic/CenterPrimary Care700182KENTUCKYNo
2261QR1300XClinic/CenterRural HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.