| Faith Healthcare Inc | |
|
325 Richmond St Mount Vernon KY 40456-2712 | |
| (606) 331-5720 | |
| Not Available |
| Full Name | Faith Healthcare Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 325 Richmond St, Mount Vernon, Kentucky |
| Authorized Official Name and Position | Logan Roy Antle (CEO/PRESIDENT) |
| Authorized Official Contact | 6064255768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Healthcare Inc 521 Crane Rd Somerset KY 42501-9503 Ph: (606) 425-5768 | Faith Healthcare Inc 325 Richmond St Mount Vernon KY 40456-2712 Ph: (606) 331-5720 |
| NPI Number | 1790541431 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790541431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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