Triad Health Systems, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Warsaw, KY
NPI 1083041982 · NPPES record last updated Nov 7, 2018
Key facts
- NPI
- 1083041982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 700173 (KY)
- Legal business name
- TRIAD HEALTH SYSTEMS, INC.
- Practice address
- 88 Pawprint Path
Warsaw, KY 41095-9376 - Phone
- (859) 567-5860
- NPI assigned
- Oct 9, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- TRIAD HEALTH SYSTEMS INC.
Authorized official
- Name
- Adam Craft
- Title
- C.E.O.
- Phone
- (859) 567-1271
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 8
Practitioners 15
-
Eric C. Baumann, MD
-
Jasmine Birchall, APRN
-
Christine Marie Caskey, FNP-C
-
Cheryl Beth Conway, APRN
-
Larry J Gross, MD
-
Cindy Haines, ARNP
-
Larry C Johnson, MD
-
Barbara J Newell, MD
-
Michael Lee Wainscott, APRN
-
Lesley Nicole Wespesser, MA, LPCC-S
-
Rodney Earl Young, PSY.D.
-
Dhimitri Elicia Gross, M.D.
National Provider Directory
- Tax ID family
- Triad Health Systems Inc
- Part of
- Triad Health Systems Inc
Locations
1005 Highway 22 E
Owenton, KY 40359
Phone (502) 484-2595
88 Pawprint Path
Warsaw, KY 41095
Phone (859) 567-1591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 700173 | KY | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | 700173 | KY | Yes |
| Primary Care Clinic/Center | 261QP2300X | 700173 | KY | |
| Family Nurse Practitioner |
363LF0000X | 700173 | KY |
Addresses
Primary practice location
88 Pawprint Path
Warsaw, KY 41095-9376
Mailing address
PO Box 426
Florence, KY 41022-0426
Phone (859) 567-1271
Other names
- Gallatin County Middle School Based Clinic
Other providers in Warsaw, KY
- Three Rivers District Health Department
- Three Rivers District Health Department
- Three Rivers District Health Department
- Three Rivers District Health Department
- Three Rivers District Health Department
- Triad Health Systems, Inc.
- Triad Health Systems, Inc.
- Warsaw Family Medicine
- Weldon Wellness, PLLC
- Laura Z Weldon
All providers in Warsaw, KY · Federally Qualified Health Center (FQHC) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.