Organization
FAMILY HEALTH CENTERS, INC.
Active
Other names
Family Health Center Fairdale
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART IRWIN (CEO (INTERIM))
(502) 774-8631
Entity
Organization
Contact information
Practice address
1000 NEIGHBORHOOD PL, FAIRDALE, KY 40118-9697
(502) 361-2381
(502) 363-1462
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700013
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000052
—
KY
Enumeration date
05/18/2006
Last updated
07/16/2021
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