Triad Health Systems INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Owenton, KY. Organization (NPI-2).
NPI number1780109694
StatusActive
Last updated in NPPESNov 7, 2018
Details
- NPI
- 1780109694
- Entity type
- Organization (NPI-2)
- Legal business name
- Triad Health Systems INC.
- Organization subpart
- Yes
- Enumeration date
- Aug 11, 2017
- Last updated
- Nov 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Practice location
1005 Highway 22 EOwenton, KY 40359-9041
Phone 502-484-2595 · Fax 859-567-1253
Mailing address
Po Box 845Warsaw, KY 41095-0845
Phone 859-567-1271 · Fax 859-567-1253
Authorized official
Jessica Wheeler
General Manager
8595671271
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All 5 Federally Qualified Health Center (FQHC) providers in Owenton · All 77 providers in Owenton
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