| Triad Health Systems Inc. | |
|
409 Roland Ave Owenton KY 40359-1401 | |
| (502) 484-5888 | |
| (859) 567-1253 |
| Full Name | Triad Health Systems Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 409 Roland Ave, Owenton, Kentucky |
| Authorized Official Name and Position | Jessica Wheeler (GENERAL MANAGER) |
| Authorized Official Contact | 8595671271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Health Systems Inc. Po Box 845 Warsaw KY 41095-0845 Ph: (859) 567-1271 | Triad Health Systems Inc. 409 Roland Ave Owenton KY 40359-1401 Ph: (502) 484-5888 |
| NPI Number | 1376052308 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 09/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376052308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Triad Health Systems Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Highway 22 E, Owenton, KY 40359 Phone: 502-484-2595 Fax: 859-567-1253 | |
Owen Dental Center, P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Seminary St, Owenton, KY 40359 Phone: 502-484-0091 |