Triad Health Systems Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Owenton, KY

NPI 1780109694 · NPPES record last updated Nov 7, 2018

Key facts

NPI
1780109694
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 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
Organization subpart
Yes
Parent organization (as reported)
TRIAD HEALTH SYSTEMS INC.

Authorized official

Name
Jessica Wheeler
Title
General Manager
Phone
(859) 567-1271

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.

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Triad Health Systems Inc (9 organizations share this tax ID)
Part of
Triad Health Systems Inc

Specialties & licenses

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

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

Other providers in Owenton, KY

All providers in Owenton, KY · Federally Qualified Health Center (FQHC) in Kentucky

Sources for this page

Verify at the official NPI Registry.