Provider Type Icon

PANACEA HEALTHCARE NPI 1700541646


NPI Information

NPI: 1700541646
Provider Name: PANACEA HEALTHCARE
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 18D2244142

Address:
140 KINGS DAUGHTERS DRIVE SUITE 400
FRANKFORT, KY
ZIP 40601
Phone: (502) 699-2885
Get Directions

PANACEA HEALTHCARE is an addiction medicine family medicine in Frankfort, KY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. PANACEA HEALTHCARE NPI is 1700541646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

140 KINGS DAUGHTERS DRIVE SUITE 400
FRANKFORT, KY
ZIP 40601
Phone: (502) 699-2885
Fax: (502) 699-2890

The provider's authorized official is Dennis Louis Hall .
The authorized official title is Owner and has the following contact phone number (502) 229-4017.

The CLIA number assigned to this NPI record is 18D2244142 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2021 and was last updated on 12/7/2022.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3171M00000XCase Manager/Care CoordinatorNo
42083A0300XPreventive MedicineAddiction MedicineNo
5207QA0401XFamily MedicineAddiction MedicineYes

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: 5/5/2024

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.