Organization
FAITH HEALTHCARE, INC.
Active
Parent organization
FAITH HEALTHCARE, INC.
Other names
Nancy Family Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAITH HEALTHCARE, INC.
Authorized official
LOGAN ROY ANTLE (CEO)
(606) 425-5768
Entity
Organization
Contact information
Practice address
9919 W HIGHWAY 80, NANCY, KY 42544-9003
(606) 288-0019
(606) 288-0020
Mailing address
521 CRANE RD, SOMERSET, KY 42501-9503
(066) 425-5768
(606) 425-5769
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/14/2020
Last updated
12/07/2023
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