PARK DUVALLE COMMUNITY HEALTH CENTER, INC (NPI# 1851957252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851957252 |
| Entity Type | Organization |
| Organization Name | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | HENRY COUNTY COMMUNITY HEALTH CENTER |
| Practice Address |
75 Park Rd Wing #1 New Castle KY 40050-3095 |
| Mailing Address |
3015 Wilson Ave Louisville KY 40211-1969 |
| Practice Telephone | 5028452882 |
| Mailing Telephone | 5027744401 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | ELIZABETH A HAGAN-GRIGSBY (CEO) |
| Authorized Official Telephone | 5027744401 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100595370 | 05 |
| Other Name | Type Code |
|---|---|
| Henry County Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780698506 | Park Duvalle Community Health Center, Inc | Clinic/Center | 2237 Hikes Ln, Louisville, KY 40218-2203 | 2006-07-28 |
| 1275151292 | Park Duvalle Community Health Center, Inc | Clinic/Center | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2020-07-07 |
| 1639727951 | Park Duvalle Community Health Center, Inc | Clinic/Center | 1130 W Chestnut St, Louisville, KY 40203-2047 | 2019-08-29 |
| 1811545403 | Park Duvalle Community Health Center, Inc | Clinic/Center | 5901 Greenwood Rd, Louisville, KY 40258-2409 | 2019-08-28 |
| 1518184613 | Park Duvalle Community Health Center, Inc | Pharmacy | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2007-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PARK DUVALLE COMMUNITY HEALTH CENTER, INC. | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Street Address |
75 PARK RD WING #1 |
| City | NEW CASTLE |
| State | KY |
| Zip Code | 40050-3095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205808060 | North Central District Health Dept. | Public Health or Welfare | 75 Park Rd, New Castle, KY 40050 | 2006-02-06 |
| 1649724006 | Kimberly Cravens | Registered Nurse | 75 Park Rd, New Castle, KY 40050-3095 | 2016-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558441675 | Travis Daniel Day | Chiropractor | 112 Court St, Ste A, New Castle, KY 40050 | 2006-10-16 |
| 1326136789 | Ronald M Koff | Family Medicine | 15 So Main St, New Castle, KY 40050 | 2006-10-11 |
| 1952401218 | Henry County Medical Center Psc | Family Medicine | 15 So Main St., New Castle, KY 40050 | 2006-09-25 |
| 1194348433 | Foundation Chiro Psc | Chiropractor | 112 Court St, Suite A, New Castle, KY 40050 | 2020-05-21 |
| 1346738549 | Adapt Diversion Services | Social Worker | 50 Adams St, New Castle, KY 40050 | 2018-04-24 |
| 1790082014 | Day Chiropractic, Psc | Chiropractor | 112 Court St, New Castle, KY 40050 | 2011-02-23 |
| 1427106475 | Cooks Pharmacy Inc | Pharmacy | 16 S Main St, New Castle, KY 40050 | 2007-01-08 |
| 1164760757 | Krystal Marie Sharp | Psychologist | 396 E Cross Main St, New Castle, KY 40050-2521 | 2013-01-16 |
| 1770982571 | Clubb Pharmacy, Inc | Pharmacist | 13 N Main St, New Castle, KY 40050-2538 | 2014-08-18 |
| 1053507004 | Steven Devon White | Family Medicine | 15 S Main St, New Castle, KY 40050-2568 | 2007-09-23 |
| Find all providers in zip 40050 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1851585046 | Monroe County Health Center Board of Trustees | Clinic/Center | 226 Market Street, New Castle, VA 24127-0370 | 2007-08-30 |
| 1114256146 | Primary Health Network | Clinic/Center | 2807 Wilmington Rd, New Castle, PA 16105-1263 | 2009-12-22 |
| 1871754465 | Primary Health Network | Clinic/Center | 1112 S Mill St, New Castle, PA 16101-4629 | 2008-06-17 |
| 1700093341 | Tracy Pocza | Clinic/Center | 1000 S Mercer St, 4th Floor, New Castle, PA 16101-4672 | 2007-05-16 |
| 1760500243 | Roberta Martin | Clinic/Center | 1000 S Mercer St, 4th Floor, New Castle, PA 16101-4672 | 2007-03-26 |
| 1023134517 | Jodi Bixler King | Clinic/Center | 1000 S Mercer St, 4th Floor, New Castle, PA 16101-4672 | 2007-03-22 |
| 1174649669 | Mary Ellen Penwell | Clinic/Center | 1000 S Mercer St, 4th Floor, New Castle, PA 16101-4672 | 2007-03-22 |
| 1306962808 | Children's Advocacy Center of Lawrence County, Inc. | Clinic/Center | 1000 S Mercer St, 4th Floor, New Castle, PA 16101-4672 | 2007-03-22 |
| 1922124403 | Diane Burick Gwin | Clinic/Center | 1000 S Mercer St, 4th Floor, New Castle, PA 16101-4672 | 2007-03-22 |
| Find all providers in NEW CASTLE | ||||
| City | NEW CASTLE |
| Zip Code | 40050 |
Please comment or provide details below to improve the information on PARK DUVALLE COMMUNITY HEALTH CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.