NPIMap

Organization Active NPI

Faith Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, KY
National Provider Identifier
1013787910
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAITH HEALTHCARE INC
Practice address
1225 N Main St
Monticello, KY 42633-1902
Phone
(606) 340-0740
Fax
(606) 340-0742
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Logan Roy Antle
Title
Ceo
Phone
(606) 425-5768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1225 N Main St
Monticello, KY 42633-1902

Mailing address

521 Crane Rd
Somerset, KY 42501-9503
Phone (606) 425-5768

Other names 1

  • Faith Dental of Monticello Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Care Clinic15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1225 N Main St
Monticello, KY 42633
Phone (606) 340-0740

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGHBD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1013787910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 CRANE RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425019503",
            "telephone_number": "606-425-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331902",
            "telephone_number": "606-340-0740",
            "fax_number": "606-340-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "ANTLE",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-425-5768"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Dental of Monticello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.