# FORTUNE FIRST ASSIST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194945477
- **Authorized official:** ROBIN FORTUNE SAC (PRESIDENT)
- **Authorized official phone:** (270) 369-8984

## Contact information

- **Practice address:** 5099 SPORTSMAN LAKE RD, ELIZABETHTOWN, KY 42701-8216
- **Practice address phone:** (270) 369-8984
- **Practice address fax:** (270) 369-8562
- **Mailing address:** 5099 SPORTSMANS LAKE RD, ELIZABETHTOWN, KY 42701
- **Mailing address phone:** (270) 369-8984
- **Mailing address fax:** (270) 369-8562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZS0410X | Surgical Technologist | — | KY | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000215944 | BLUE CROSS BLUE SHIELD | KY |