FAITH HEALTHCARE INC NPI 1912777822

NPI Information

NPI: 1912777822
Provider Name: FAITH HEALTHCARE INC

Doing Business As: FAITH DENTAL OF RUSSELL SPRINGS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
458 MAIN ST
RUSSELL SPRINGS, KY
ZIP 42642
Phone: (606) 388-9019
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FAITH HEALTHCARE INC is a federally qualified health center (fqhc) clinic center in Russell Springs, KY. FAITH HEALTHCARE INC NPI is 1912777822. The provider is registered as an organization entity type.
The provider Is Doing Business As Faith Dental Of Russell Springs.

The provider's business location address is:

458 MAIN ST
RUSSELL SPRINGS, KY
ZIP 42642-356
Phone: (606) 388-9019

The provider's authorized official is Logan Roy Antle .
The authorized official title is Ceo and has the following contact phone number (606) 425-5768.

The enumeration date for this NPI number is 1/3/2024 and was last updated on 1/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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