Organization
TRIAD HEALTH SYSTEMS INC.
Active
Parent organization
TRIAD HEALTH SYSTEMS INC.
Other names
Triad Health Systems Carrollton Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIAD HEALTH SYSTEMS INC.
Authorized official
JESSICA WHEELER (GENERAL MANAGER)
(859) 567-1271
Entity
Organization
Contact information
Practice address
329 FLOYD DR, CARROLLTON, KY 41008-8261
(502) 732-1082
(859) 567-1253
Mailing address
PO BOX 845, WARSAW, KY 41095-0845
(859) 567-1591
(859) 567-1253
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
KY
261QP2300X
Primary Care Clinic/Center
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Enumeration date
01/14/2014
Last updated
11/07/2018
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