Park Duvalle Community Health Center, Inc in Louisville - Federally Qualified Health Center (fqhc)
Park Duvalle Community Health Center, Inc - NPI 1780698506
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 1780698506. The last update date is 2022-11-11.
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 | 1780698506 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2022-11-11 |
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 10-digit identifier 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) 1780698506 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Park Duvalle Community Health Center, Inc located?
The Park Duvalle Community Health Center, Inc is located at 3015 Wilson Ave, Louisville, KY 402111969.
What is Park Duvalle Community Health Center, Inc's area of expertise and its corresponding taxonomy classification?
The Park Duvalle Community Health Center, Inc's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
When did Park Duvalle Community Health Center, Inc receive its 1780698506 assignment?
The Park Duvalle Community Health Center, Inc was assigned its 1780698506 on 2006-07-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Park Duvalle Community Health Center, Inc most recently updated or revised?
The information pertaining to Park Duvalle Community Health Center, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-11.