NPIMap

Organization Active NPI

Triad Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Warsaw, KY
National Provider Identifier
1083041982
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
700173 Issued in 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
Last updated
Nov 7, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIAD HEALTH SYSTEMS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Adam Craft
Title
C.E.O.
Phone
(859) 567-1271

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 700173 KY
Federally Qualified Health Center (FQHC) 261QF0400X 700173 KY Primary
Primary Care Clinic/Center 261QP2300X 700173 KY
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 1

  • Gallatin County Middle School Based Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Triad Health Systems Inc9 organizations share this tax ID, including this one
Part of
Triad Health Systems Inc

Other organizations with this tax ID 8

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

Locations

2340 Highway 22 E
Owenton, KY 40359
Phone (502) 484-2117

88 Pawprint Path
Warsaw, KY 41095
Phone (859) 567-1591

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1083041982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410220426",
            "telephone_number": "859-567-1271",
            "fax_number": "859-567-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PAWPRINT PATH",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "410959376",
            "telephone_number": "859-567-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD HEALTH SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIAD HEALTH SYSTEMS INC.",
        "enumeration_date": "2013-10-09",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "859-567-1271"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "700173",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700173",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "700173",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "700173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gallatin County Middle School Based Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gallatin County Middle School Based Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warsaw, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.