# FAITH HEALTHCARE, INC.

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

## Provider details

- **NPI number:** 1902672918
- **Legal business name:** FAITH HEALTHCARE INC
- **Authorized official:** LOGAN ROY ANTLE (CEO)
- **Authorized official phone:** (606) 425-5768

## Contact information

- **Practice address:** 100 JAY ST, STANFORD, KY 40484-7511
- **Practice address phone:** (606) 365-1547
- **Practice address fax:** (606) 365-8380
- **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 |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

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