Provider Demographics
NPI:1437223005
Name:FAMILY & CHILDREN FIRST, INC
Entity Type:Organization
Organization Name:FAMILY & CHILDREN FIRST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-893-3900
Mailing Address - Street 1:2303 RIVER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-5004
Mailing Address - Country:US
Mailing Address - Phone:502-893-3900
Mailing Address - Fax:502-893-9646
Practice Address - Street 1:209 EXECUTIVE PARK
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4202
Practice Address - Country:US
Practice Address - Phone:502-895-4671
Practice Address - Fax:502-893-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000224164OtherANTHEM
KY13000088Medicaid