Organization · NPI-2
Matthew 25 Aids Services INC
Clinic/Center · Henderson, KY
NPI number1457355125
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1457355125
- Entity type
- Organization (NPI-2)
- Legal business name
- Matthew 25 Aids Services INC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2005
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 740146 | KY | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
452 Old Corydon RdHenderson, KY 42420-4645
Phone 270-826-0200 · Fax 270-826-0212
Mailing address
452 Old Corydon RdHenderson, KY 42420-4645
Phone 270-826-0200 · Fax 270-826-0212
Authorized official
Courtney Woolfork
Ceo
2708260200
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