Organization
FAITH HEALTHCARE INC
Active
Other names
Mt. Vernon Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN ROY ANTLE (CEO/PRESIDENT)
(606) 425-5768
Entity
Organization
Contact information
Practice address
325 RICHMOND ST, MOUNT VERNON, KY 40456-2712
(606) 331-5720
Mailing address
521 CRANE RD, SOMERSET, KY 42501-9503
(606) 425-5768
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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