FRESH START HEALTH PSC NPI 1669252995

NPI Information

NPI: 1669252995
Provider Name: FRESH START HEALTH PSC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: FRESH START HEALTH CENTERS VANCEBURG
CLIA Number: 18D2292637
Address: 207 PLUMMERS LN
VANCEBURG, KY
ZIP 41179
Phone: (606) 225-8200

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NPI Details

FRESH START HEALTH PSC is a rural health clinic center in Vanceburg, KY. FRESH START HEALTH PSC NPI is 1669252995. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresh Start Health Centers Vanceburg.

The provider's business location address is:

207 PLUMMERS LN
VANCEBURG, KY
ZIP 41179-683
Phone: (606) 225-8200
Fax: (888) 606-7354

The provider's authorized official is Jerrel H Boyer .
The authorized official title is Ceo and has the following contact phone number (773) 296-6666.

The CLIA number assigned to this NPI record is 18D2292637 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2023 and was last updated on 10/4/2023.

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	261QR1300X	Clinic/Center	Rural Health			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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