| NPI | 1114932514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE LINSCOTT CEO 859-288-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-11-30 |