NPIMap

Organization Active NPI

Triad Health Systems Inc.

  • Federally Qualified Health Center (FQHC)
  • Owenton, KY
National Provider Identifier
1780109694
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TRIAD HEALTH SYSTEMS INC.
Practice address
1005 Highway 22 E
Owenton, KY 40359-9041
Phone
(502) 484-2595
Fax
(859) 567-1253
NPI assigned
Aug 11, 2017
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
Jessica Wheeler
Title
General Manager
Phone
(859) 567-1271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1005 Highway 22 E
Owenton, KY 40359-9041

Mailing address

PO Box 845
Warsaw, KY 41095-0845
Phone (859) 567-1271

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.

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.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1780109694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "410950845",
            "telephone_number": "859-567-1271",
            "fax_number": "859-567-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HIGHWAY 22 E",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403599041",
            "telephone_number": "502-484-2595",
            "fax_number": "859-567-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD HEALTH SYSTEMS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIAD HEALTH SYSTEMS INC.",
        "enumeration_date": "2017-08-11",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "859-567-1271"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owenton, 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.