Organization
TRIAD HEALTH SYSTEMS, INC.
Active
Parent organization
TRIAD HEALTH SYSTEMS INC.
Other names
Gallatin County Middle School Based Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIAD HEALTH SYSTEMS INC.
Authorized official
ADAM CRAFT (C.E.O.)
(859) 567-1271
Entity
Organization
Contact information
Practice address
88 PAWPRINT PATH, WARSAW, KY 41095-9376
(859) 567-5860
Mailing address
PO BOX 426, FLORENCE, KY 41022-0426
(859) 567-1271
(859) 567-1258
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
700173
KY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700173
KY
261QP2300X
Primary Care Clinic/Center
700173
KY
363LF0000X
Family Nurse Practitioner
700173
KY
Other
Enumeration date
10/09/2013
Last updated
11/07/2018
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