# FAITH MEDICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1689971970
- **Authorized official:** LARRY E WARREN D.O. (OWNER)
- **Authorized official phone:** (606) 546-2511

## Contact information

- **Practice address:** 13232 N HIGHWAY 421, MANCHESTER, KY 40962-4972
- **Practice address phone:** (606) 627-4350
- **Mailing address:** PO BOX 1404, RICHMOND, KY 40476-1404
- **Mailing address phone:** (606) 546-2511
- **Mailing address fax:** (606) 546-2513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02875 | KY | Yes |
| 363L00000X | Nurse Practitioner | 3008480 | KY | — |
| 363LF0000X | Family Nurse Practitioner | 1119255 | KY | — |

## Other

- **Enumeration date:** 02/22/2011
- **Last updated:** 10/25/2016