Family Wellcare Clinic, Pllc
LBN: Family Wellcare Clinic, Pllc
Family Wellcare Clinic, Pllc is an health care organization with primary practice located at 805 Bardstown Rd Ste 12 , Springfield KY 40069. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Family Wellcare Clinic, Pllc can be contacted via phone (859) 481-7113, or through Haddad, Imad Antone via phone (859) 481-7113.
Contact Information
Primary practice address
805 Bardstown Rd Ste 12
Springfield KY 40069
Phone: (859) 481-7113
Fax: (859) 481-7114
Website:
Authorized official contact:
Name: Haddad, Imad Antone Doctor of Medicine (MD)
Phone: (859) 481-7113
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1619496395 |
|---|---|
| LBN Legal business name | Family Wellcare Clinic, Pllc |
| DBA Doing business as | |
| Authorized official | Haddad, Imad Antone Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619496395 | NPPES |
| Kentucky | MEDICAID | 64065865 |
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