# FAITH HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAITH HEALTHCARE, INC.
- **Other names:** Bluegrass Community Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598531535
- **Legal business name:** FAITH HEALTHCARE, INC.
- **Authorized official:** LOGAN ROY ANTLE (CEO)
- **Authorized official phone:** (606) 425-5768

## Contact information

- **Practice address:** 107 METKER TRL STE A, STANFORD, KY 40484-1049
- **Practice address phone:** (606) 365-8338
- **Mailing address:** 521 CRANE RD, SOMERSET, KY 42501-9503
- **Mailing address phone:** (066) 425-5768
- **Mailing address fax:** (606) 425-5769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2023
- **Last updated:** 11/30/2023