Park Duvalle Community Health Center, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Eminence, Kentucky. The current practice location for Park Duvalle Community Health Center, Inc is 500 W Broadway St, Eminence, Kentucky. For appointments, you can reach them via phone at
(502) 772-5034. 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 * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1851957252. 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) 772-5034.
Primary Care Clinic Profile
| Full Name | Park Duvalle Community Health Center, Inc |
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| Speciality | Clinic/Center |
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| Location | 500 W Broadway St, Eminence, Kentucky |
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| Authorized Official Name and Position | Swannie Jett (CEO) |
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| Authorized Official Contact | 5027744401 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Park Duvalle Community Health Center, Inc
3015 Wilson Ave
Louisville
KY 40211-1969
Ph: (502) 774-4401 | Park Duvalle Community Health Center, Inc
500 W Broadway St
Eminence
KY 40019-1201
Ph: (502) 772-5034 |
NPI Details:
| NPI Number | 1851957252 |
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| Provider Enumeration Date | 05/13/2019 |
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| Last Update Date | 08/01/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1658268974 |
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| Medicare Enrollment ID | O20200310000057 |
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Medical Identifiers
Medical identifiers for Park Duvalle Community Health Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851957252 | NPI | - | NPPES |
| 31000011 | Medicaid | KY | |
| 31000920 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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