NPI | 1104261718 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE LINSCOTT CEO 859-288-2425 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2025-07-14 |