Fresh Routes Incorporated
Clinic/Center, Mental Health (Including Community Mental Health Center) in Louisville, KY. Organization (NPI-2).
Details
- NPI
- 1669967287
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresh Routes Incorporated
- Organization subpart
- No
- Enumeration date
- Jun 26, 2018
- Last updated
- Jun 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
3146 W BroadwayLouisville, KY 40211-1441
Phone 502-776-0262
Mailing address
743 E Broadway Ste 291Louisville, KY 40202-1711
Phone 502-608-7640
Authorized official
Phillip Antonio Thompson
Ceo
5023242199
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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