Organization
FAMILY HEALTH CENTERS, INC.
Active
Other names
FHC Marion Moore High School SBS
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL RIDDICK (CREDENTIALING)
(502) 772-8561
Entity
Organization
Contact information
Practice address
6415 OUTER LOOP, LOUISVILLE, KY 40228-1817
(502) 774-8631
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 772-8561
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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