Park Duvalle Community Health Center, Inc. in Louisville - Federally Qualified Health Center (fqhc)
Park Duvalle Community Health Center, Inc. - NPI 1245253160
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 1245253160. 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 | 1245253160 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| 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 unique identification code assigned to Park Duvalle Community Health Center, Inc. by the Centers for Medicare & Medicaid Services?
The Park Duvalle Community Health Center, Inc. has been issued the NPI (National Provider Identifier) 1245253160. This 10-digit code serves as a unique identifier for healthcare providers, assigned 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 field of practice, and what is the corresponding taxonomy classification code?
The Park Duvalle Community Health Center, Inc.'s area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did Park Duvalle Community Health Center, Inc. receive its 1245253160 assignment from the Centers for Medicare & Medicaid Services?
The Park Duvalle Community Health Center, Inc. was assigned its 1245253160 on 2006-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Park Duvalle Community Health Center, Inc.'s details last updated?
The information pertaining to the Park Duvalle Community Health Center, Inc., including its address, specialty, and other details, was most recently updated on 2021-11-02.