NPIMap

Organization Active NPI

Triad Health Systems, Inc.

Doing business as Triad Owen School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Owenton, KY
National Provider Identifier
1982117271
Registry record updated Mar 17, 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.
Doing business as
Triad Owen School Based Clinic
Practice address
2340 Highway 22 E
Owenton, KY 40359-9176
Phone
(502) 484-2117
Fax
(859) 567-1253
NPI assigned
Nov 9, 2017
Last updated
Mar 17, 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 Mar 17, 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) 567-1591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X KY Primary
Multi-Specialty Clinic/Center 261QM1300X KY

Addresses

Primary practice location

2340 Highway 22 E
Owenton, KY 40359-9176

Mailing address

PO Box 845
Warsaw, KY 41095-0845
Phone (502) 484-2117

Other practice location 1

2380 Highway 22 E
Owenton, KY 40359-9176
Phone (502) 484-2117

Other practice location 2

1960 Highway 22 E
Owenton, KY 40359-9044
Phone (502) 484-2117

Other names 1

  • Triad Owen School Based Clinic Doing business as

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

2380 Highway 22 E
Owenton, KY 40359
Phone (502) 484-2117

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 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1982117271",
    "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": "502-484-2117",
            "fax_number": "859-567-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 HIGHWAY 22 E",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403599176",
            "telephone_number": "502-484-2117",
            "fax_number": "859-567-1253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Highway 22 E",
            "address_purpose": "LOCATION",
            "city": "Owenton",
            "state": "KY",
            "postal_code": "403599176",
            "country_code": "US",
            "telephone_number": "502-484-2117",
            "fax_number": "859-567-1253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 Highway 22 E",
            "address_purpose": "LOCATION",
            "city": "Owenton",
            "state": "KY",
            "postal_code": "403599044",
            "country_code": "US",
            "telephone_number": "502-484-2117",
            "fax_number": "859-567-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIAD HEALTH SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIAD HEALTH SYSTEMS, INC.",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "859-567-1591"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Owen School Based Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 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.