Park Duvalle Community Health Center, INC

NPI #1851957252 in Eminence, Kentucky

Provider Information

NPI Number: 1851957252
Entity Type: Organization
Organization Name: Park Duvalle Community Health Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: PARK DUVALLE COMMUNITY HEALTH CENTER, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: May 13, 2019
Last Updated: Aug 1, 2023

Practice Location

Address: 500 W BROADWAY ST
City: Eminence
State: Kentucky
ZIP Code: 40019-1201
Phone: (502) 772-5034

Authorized Official

Name: SWANNIE JETT
Title: CEO
Phone: (502) 774-4401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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