NPI | 1942954441 |
---|---|
Other Name | FAMILY HEALTH CENTERS, INC-WAYSIDE HOTEL LOUISVILLE |
Entity Type | Organization |
Authorized Contact | BART IRWIN CEO 502-772-8558 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-02-04 |
Last Update Date | 2022-03-04 |