NPIMap

Organization Active NPI

Faith Healthcare, Inc.

  • Family Medicine Physician
  • Waynesburg, KY
National Provider Identifier
1477329415
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAITH HEALTHCARE, INC.
Practice address
14098 US Highway 27 S
Waynesburg, KY 40489-8253
Phone
(606) 379-6646
NPI assigned
Nov 30, 2023
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FAITH HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Tabatha Nicole Flynn
Title
Senior Project Director
Phone
(606) 425-5768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

14098 US Highway 27 S
Waynesburg, KY 40489-8253

Mailing address

521 Crane Rd
Somerset, KY 42501-9503
Phone (066) 425-5768

National Provider Directory

National Provider Directory
Tax ID family
Faith Healthcare Inc16 organizations share this tax ID, including this one
Part of
Faith Healthcare Inc

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1477329415",
    "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": "066-425-5768",
            "fax_number": "606-425-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14098 US HIGHWAY 27 S",
            "city": "WAYNESBURG",
            "state": "KY",
            "postal_code": "404898253",
            "telephone_number": "606-379-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITH HEALTHCARE, INC.",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SENIOR PROJECT DIRECTOR",
        "authorized_official_telephone_number": "606-425-5768"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.