| NPI | 1134172489 |
|---|---|
| Other Name | FAMILY HEALTH CENTER EAST BROADWAY |
| Entity Type | Organization |
| Authorized Contact | BART IRWIN CEO (Interim) 502-774-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: KY 700013) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-07-16 |