Active NPI
Flaget Healthcare Inc
- Internal Medicine Physician
- Bardstown, KY
National Provider Identifier
1871655985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FLAGET HEALTHCARE INC
- Practice address
- 110 S Salem Dr
Bardstown, KY 40004-1761 - Phone
- (502) 348-3400
- Fax
- (502) 350-5022
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John C Bradford
- Title
- Chief Financial Officer
- Phone
- (502) 350-5000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
110 S Salem Dr
Bardstown, KY 40004-1761
Mailing address
PO Box 1160
Bardstown, KY 40004-4160
Phone (502) 348-3400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35000645 | Medicaid | KY | |
| 50018276 | Other | KY | PASSPORT HEALTH PLAN |
Other names 1
- FLAGET IMMEDIATE CARE CLINIC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1871655985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1160",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400044160",
"telephone_number": "502-348-3400",
"fax_number": "502-350-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S SALEM DR",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041761",
"telephone_number": "502-348-3400",
"fax_number": "502-350-5022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLAGET HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "BRADFORD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "502-350-5000"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35000645",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH PLAN",
"identifier": "50018276",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FLAGET IMMEDIATE CARE CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.