Organization
FUSE MEDICAL
Active
Parent organization
FUSE MEDICAL
Other names
Fuse Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUSE MEDICAL
Authorized official
TAMMY L WHITEHEAD (OWNER/PROVIDER)
(606) 770-5161
Entity
Organization
Contact information
Practice address
202 W 7TH ST, LONDON, KY 40741-1763
(606) 771-5161
Mailing address
202 W 7TH ST, LONDON, KY 40741-1763
(606) 770-5161
(606) 771-5168
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811933
AODE LICENSE
KY
Enumeration date
12/20/2024
Last updated
09/09/2025
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