Organization
TRIAD HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM CRAFT (CHIEF EXECUTIVE OFFICER)
(859) 567-1271
Entity
Organization
Contact information
Practice address
441 US HIGHWAY 42 W, WARSAW, KY 41095-9323
(859) 567-1271
(859) 567-1534
Mailing address
PO BOX 845, WARSAW, KY 41095-0845
(859) 567-1271
(859) 567-1534
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
700173
KY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700173
KY
261QP2300X
Primary Care Clinic/Center
700173
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100050990
—
KY
Enumeration date
05/03/2007
Last updated
11/07/2018
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