institution
Park Duvalle Community Health Center, Inc.
Federally Qualified Health Center (FQHC) in Louisville, Kentucky
NPI 1255354361

Park Duvalle Community Health Center, Inc. is a Federally Qualified Health Center (FQHC) based in Louisville, KY and is specialized in Federally Qualified Health Center (FQHC). Park Duvalle Community Health Center, Inc. practices in Louisville, KY. The NPI Number for Park Duvalle Community Health Center, Inc. is 1255354361 and holds a License No. 700005 (Kentucky).

The current practice location address for Park Duvalle Community Health Center, Inc. is 1425 W. Broadway, Louisville, KY and can be reached out via phone at 502-584-2992 and via fax at 502-584-3715.

Location: 1425 W. Broadway, Louisville, KY, 40211-1969
institution
Provider Profile Details
NPI Number
1255354361
Provider Name
Park Duvalle Community Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
1425 W. Broadway, Louisville, KY, 40211-1969
Phone Number
502-584-2992
Fax Number
502-584-3715
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31000011 05 KY
institution
Provider Business Practice Location Address Details
Address
1425 W. Broadway
City
State
Zip
40202
Phone Number
502-584-2992
Fax Number
502-584-3715
person
Provider Business Mailing Address Details
Address
1425 W. Broadway
City
State
Zip
40202
Phone Number
502-584-2992
Fax Number
502-584-3715
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
700005 (Kentucky)
Definition
Definition to come...
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