Provider Demographics
NPI:1578917407
Name:STRICKLAND, COX & ASSOCIATES PRIMARY CARE CENTER
Entity Type:Organization
Organization Name:STRICKLAND, COX & ASSOCIATES PRIMARY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:502-749-3894
Mailing Address - Street 1:3044 BARDSTOWN RD
Mailing Address - Street 2:PO BOX 287
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-3020
Mailing Address - Country:US
Mailing Address - Phone:502-749-3894
Mailing Address - Fax:
Practice Address - Street 1:225 N CLIFTON AVE STE 7
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2438
Practice Address - Country:US
Practice Address - Phone:502-749-3894
Practice Address - Fax:502-749-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100253990Medicaid
KY7100243150Medicaid
KY7100405580Medicaid
KY7100405580Medicaid