Provider Demographics
NPI:1710443890
Name:HEALTHPOINT FAMILY CARE, INC.
Entity Type:Organization
Organization Name:HEALTHPOINT FAMILY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRINKLE-JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-655-6127
Mailing Address - Street 1:215 E. 11TH ST.
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071
Mailing Address - Country:US
Mailing Address - Phone:859-655-6100
Mailing Address - Fax:859-655-6241
Practice Address - Street 1:313 MADISON PIKE
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41017-9413
Practice Address - Country:US
Practice Address - Phone:859-655-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHPOINT FAMILY CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-14
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY700024OtherPCC LICENSE