| Park Duvalle At Spencer County | |
|
501 Taylorsville Rd Taylorsville KY 40071-6766 | |
| (502) 477-2248 | |
| (502) 477-9356 |
| Full Name | Park Duvalle At Spencer County |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 Taylorsville Rd, Taylorsville, Kentucky |
| Authorized Official Name and Position | Swannie Jett (CEO) |
| Authorized Official Contact | 5027744401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Duvalle At Spencer County 3015 Wilson Ave Louisville KY 40211-1969 Ph: (502) 774-4401 | Park Duvalle At Spencer County 501 Taylorsville Rd Taylorsville KY 40071-6766 Ph: (502) 477-2248 |
| NPI Number | 1942214663 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 1658268974 |
|---|---|
| Medicare Enrollment ID | O20101021001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942214663 | NPI | - | NPPES |
| 31000920 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700005 (Kentucky) | Primary |
Taylorsville Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 870 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-477-8888 Fax: 502-477-2300 | |
Creekside Family Medical Center,psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 W Main St, Taylorsville, KY 40071 Phone: 502-477-1955 Fax: 502-477-5524 |