institution
Park Duvalle Community Health Center, Inc
Federally Qualified Health Center (FQHC) in Louisville, Kentucky
NPI 1275151292

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 1275151292 and holds a License No. (Kentucky).

The current practice location address for Park Duvalle Community Health Center, Inc is 3015 Wilson Ave, Louisville, KY and can be reached out via phone at 502-916-7091.

Location: 3015 Wilson Ave, Louisville, KY, 40211-1969
institution
Provider Profile Details
NPI Number
1275151292
Provider Name
Park Duvalle Community Health Center, Inc
Credential
Provider Entity Type
Organization
Address
3015 Wilson Ave, Louisville, KY, 40211-1969
Phone Number
502-916-7091
Fax Number
Provider Enumeration Date
07/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100595370 05 KY
31000011 05 KY
31000920 05 KY
institution
Provider Business Practice Location Address Details
Address
3015 Wilson Ave
City
State
Zip
40211-1969
Phone Number
502-916-7091
Fax Number
person
Provider Business Mailing Address Details
Address
3015 Wilson Ave
City
State
Zip
40211-1969
Phone Number
502-916-7091
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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