Provider Demographics
NPI:1174002281
Name:CHRISTIAN FAMILY HEALTHCARE, INC.
Entity Type:Organization
Organization Name:CHRISTIAN FAMILY HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WAGERS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-FNP
Authorized Official - Phone:606-658-2323
Mailing Address - Street 1:1501 HIGHWAY 1524
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40962-9011
Mailing Address - Country:US
Mailing Address - Phone:606-658-2323
Mailing Address - Fax:606-658-6085
Practice Address - Street 1:90 GARRARD SQ
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-5759
Practice Address - Country:US
Practice Address - Phone:606-658-2323
Practice Address - Fax:606-658-6085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care