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General NPI Number Information
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NPI Number | 1518963230
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2215 PORTLAND AVE
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City | LOUISVILLE
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State | KY
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Zip | 40212-1033
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Country | US
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Telephone | 502-774-8631
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Fax | 502-776-8912
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Provider Business Mailing Address
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Address Line | PO BOX 950244
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City | LOUISVILLE
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State | KY
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Zip | 40295-0244
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Country | US
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Telephone | 502-953-4700
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Fax | 502-772-8189
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Authorized Official
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Title or Position | CEO
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Name | BART IRWIN
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Credential |
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Telephone | 502-774-8631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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