Healthcare Provider Details

I. General information

NPI: 1114442191
Provider Name (Legal Business Name): A PLUS FAMILY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2017
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S MAIN ST STE 101
BROWNSVILLE KY
42210-9001
US

IV. Provider business mailing address

PO BOX 784
BROWNSVILLE KY
42210-0784
US

V. Phone/Fax

Practice location:
  • Phone: 270-975-4050
  • Fax: 270-975-4002
Mailing address:
  • Phone: 270-975-4050
  • Fax: 270-975-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICK MERRITT
Title or Position: CEO
Credential:
Phone: 270-975-4050