Park Duvalle Community Health Center, Inc. - Medicare Primary Care in Louisville, KY

Park Duvalle Community Health Center, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Louisville, Kentucky. The current practice location for Park Duvalle Community Health Center, Inc. is 3015 Wilson Ave, Louisville, Kentucky. For appointments, you can reach them via phone at (502) 774-4401. The mailing address for Park Duvalle Community Health Center, Inc. is 3015 Wilson Ave, Louisville, Kentucky and phone number is (502) 774-4401.

Park Duvalle Community Health Center, Inc. is licensed to practice in Kentucky (license number 700005). The clinic also participates in the medicare program and its NPI number is 1245253160. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (502) 774-4401.

Contact Information

Park Duvalle Community Health Center, Inc.
3015 Wilson Ave
Louisville
KY 40211-1969
(502) 774-4401
(502) 772-4783

Map and Direction


Primary Care Clinic Profile

Full NamePark Duvalle Community Health Center, Inc.
SpecialityClinic/Center
Location3015 Wilson Ave, Louisville, Kentucky
Authorized Official Name and PositionSwannie Jett (CEO)
Authorized Official Contact5027744401
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Park Duvalle Community Health Center, Inc.
3015 Wilson Ave
Louisville
KY 40211-1969

Ph: (502) 774-4401
Park Duvalle Community Health Center, Inc.
3015 Wilson Ave
Louisville
KY 40211-1969

Ph: (502) 774-4401

NPI Details:

NPI Number1245253160
Provider Enumeration Date07/25/2006
Last Update Date11/02/2021

Medicare PECOS Information:

Medicare PECOS PAC ID1658268974
Medicare Enrollment IDO20040323000421

Medical Identifiers

Medical identifiers for Park Duvalle Community Health Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245253160NPI-NPPES
31000011MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 700005 (Kentucky)Primary

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.