| Fountain Community Healthcare Services | |
|
1232 Paris Pike Georgetown KY 40324-9701 | |
| (502) 542-0964 | |
| (502) 868-9152 |
| Full Name | Fountain Community Healthcare Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1232 Paris Pike, Georgetown, Kentucky |
| Authorized Official Name and Position | Stephen Kofi Kponyoh (CEO) |
| Authorized Official Contact | 5025420964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Community Healthcare Services 111 Fawn Run Dr Georgetown KY 40324-8402 Ph: (502) 542-0964 | Fountain Community Healthcare Services 1232 Paris Pike Georgetown KY 40324-9701 Ph: (502) 542-0964 |
| NPI Number | 1750738506 |
|---|---|
| Provider Enumeration Date | 05/23/2016 |
| Last Update Date | 05/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750738506 | NPI | - | NPPES |
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