=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023094695
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTH HELP INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2005
-----------------------------------------------------
Last Update Date | 07/17/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 104 LEGACY DR
-----------------------------------------------------
City | BEREA
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-986-2323
-----------------------------------------------------
Fax | 859-986-7728
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1010 MAIN ST S
-----------------------------------------------------
City | MC KEE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40447-7089
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-287-7104
-----------------------------------------------------
Fax | 606-287-4409
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CREDENTIALER
-----------------------------------------------------
Name | MS. JENNY SARGENT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 859-626-7700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number | 700030
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------