Park Duvalle Community Health Center, Inc. in Louisville - Federally Qualified Health Center (fqhc)
Park Duvalle Community Health Center, Inc. - NPI 1255354361
Park Duvalle Community Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Louisville, Kentucky. Park Duvalle Community Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Park Duvalle Community Health Center, Inc. is 1255354361. The last update date is 2021-11-02.
Park Duvalle Community Health Center, Inc.'s current location address is 3015 Wilson Ave, Louisville, Kentucky. You can contact this provider via phone number 5027744401 and fax number 5027724783. The mailing address for Park Duvalle Community Health Center, Inc. is 3015 Wilson Ave, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park Duvalle Community Health Center, Inc. |
|---|---|
| Address | 3015 Wilson Ave, Louisville, Kentucky |
| Phone Number | 5027744401 |
| Fax Number | 5027724783 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jett Swannie |
| Telephone Number | 5027744401 |
NPI Number Detail
| NPI Number | 1255354361 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2021-11-02 |
Provider Mailing Address Detail
| Address | 3015 Wilson Ave |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402111969 |
| Phone Number | 5027744401 |
| Fax Number | 5027724783 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 700005 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31000011 | KY | -- |
Post Comment/ Review Below
What is the Park Duvalle Community Health Center, Inc.'s 1255354361?
The Park Duvalle Community Health Center, Inc.'s NPI (National Provider Identifier) Number is 1255354361. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Park Duvalle Community Health Center, Inc.?
The Park Duvalle Community Health Center, Inc. is situated at 3015 Wilson Ave, in the city of Louisville, state of KY, with the zip code 402111969.
What is Park Duvalle Community Health Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Park Duvalle Community Health Center, Inc.'s specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Park Duvalle Community Health Center, Inc. receive the assignment of its 1255354361 from the Centers for Medicare & Medicaid Services?
The Park Duvalle Community Health Center, Inc. was issued its 1255354361 by the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the information regarding Park Duvalle Community Health Center, Inc. most recently updated?
The details pertaining to the Park Duvalle Community Health Center, Inc., including its address, specialty, and other relevant information, were last refreshed on 2021-11-02.