Shawnee Christian Healthcare Center Inc is a Counselor (Professional) Clinic in Louisville, Kentucky. It is located at 234 Amy Ave, Louisville, KY and its contact number is 502-778-0001. The authorized person for Shawnee Christian Healthcare Center Inc is Kirstie Matzek
who is President of the clinic and their contact number is 502-778-0001. The primary license number for Shawnee Christian Healthcare Center Inc is LAL000152 (Federally Qualified Health Center (FQHC)) in Kentucky. Shawnee Christian Healthcare Center Inc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Shawnee Christian Healthcare Center Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Shawnee Christian Healthcare Center Inc
Specialization:
Professional, Counselor
Clinic Address:
234 Amy Ave, Louisville, Kentucky, 40212-2522
Phone:
502-778-0001
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Kirstie Matzek
Position:
President
Contact Number:
502-778-0001
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shawnee Christian Healthcare Center Inc clinic are as mentioned below.
NPI Number:
1225333743
NPI Enumeration Date:
13 Jan, 2011
NPI Last Update On:
07 Aug, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shawnee Christian Healthcare Center Inc are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
LAL000152
Kentucky
Primary
Professional
Secondary
Clinical
Secondary
General Practice
Secondary
Internal Medicine
Secondary
Physician Assistant
Secondary
Acute Care
Secondary
Pediatrics
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100150090
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shawnee Christian Healthcare Center Inc 234 Amy Ave, Louisville, Kentucky
Zip:
40212-2522
Phone Number:
502-778-0001
Patients can reach Shawnee Christian Healthcare Center Inc at 234 Amy Ave, Louisville, Kentucky or can call to book an appointment on 502-778-0001. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.