| Family Health Centers, Inc. | |
|
4112 Taylor Blvd Louisville KY 40215-2342 | |
| (502) 366-4747 | |
| (502) 366-9041 |
| Full Name | Family Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4112 Taylor Blvd, Louisville, Kentucky |
| Authorized Official Name and Position | Bart Irwin (CEO) |
| Authorized Official Contact | 5027728558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Centers, Inc. Po Box 950244 Louisville KY 40295-0244 Ph: (502) 953-4700 | Family Health Centers, Inc. 4112 Taylor Blvd Louisville KY 40215-2342 Ph: (502) 366-4747 |
| NPI Number | 1205689064 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 6901700053 |
|---|---|
| Medicare Enrollment ID | O20240531003052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205689064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Jennifer Christine Angermeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699296293 PECOS PAC ID: 6507293081 Enrollment ID: I20200221001771 |
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