Provider Demographics
NPI:1104384213
Name:DIRECTCARE FAMILY HEALTH, PLLC
Entity Type:Organization
Organization Name:DIRECTCARE FAMILY HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWINEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-340-4627
Mailing Address - Street 1:525 HIGH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-1849
Mailing Address - Country:US
Mailing Address - Phone:859-340-4627
Mailing Address - Fax:859-340-4629
Practice Address - Street 1:525 HIGH ST STE 209
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-1849
Practice Address - Country:US
Practice Address - Phone:859-340-4627
Practice Address - Fax:859-340-4629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty