Organization
AUDUBON AREA COMMUNITY CARE CLINIC, INC.
Active
Other names
Audubon Area Community Care Clinic - Mobile Unit
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA TAYLOR KAAI (CLINIC PROGRAM DIRECTOR)
(270) 686-6040
Entity
Organization
Contact information
Practice address
1620 FREDERICA ST, OWENSBORO, KY 42301-4807
(270) 686-6040
(270) 686-6050
Mailing address
PO BOX 1874, OWENSBORO, KY 42302-1874
(270) 686-6040
(270) 686-6050
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
10/15/2024
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