Healthcare Provider Details

I. General information

NPI: 1518572023
Provider Name (Legal Business Name): A PLUS FAMILY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2020
Last Update Date: 02/17/2022
Certification Date: 11/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1058 CHALYBEATE SCHOOL RD
SMITHS GROVE KY
42171-7245
US

IV. Provider business mailing address

PO BOX 784
BROWNSVILLE KY
42210-0784
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

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