| Family Health Centers, Inc-wayside Hotel Louisville | |
|
120 W Broadway Louisville KY 40202-2110 | |
| (502) 772-8662 | |
| Not Available |
| Full Name | Family Health Centers, Inc-wayside Hotel Louisville |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 W Broadway, 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-wayside Hotel Louisville Po Box 950244 Louisville KY 40295-0244 Ph: (502) 953-4700 | Family Health Centers, Inc-wayside Hotel Louisville 120 W Broadway Louisville KY 40202-2110 Ph: (502) 772-8662 |
| NPI Number | 1942954441 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 03/04/2022 |
| Medicare PECOS PAC ID | 6901700053 |
|---|---|
| Medicare Enrollment ID | O20220712003178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942954441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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