Provider Demographics
NPI: | 1457783052 |
---|---|
Name: | FAMILY & CHILDREN FIRST, INC. |
Entity type: | Organization |
Organization Name: | FAMILY & CHILDREN FIRST, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | PAMELA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DARNALL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 502-893-3900 |
Mailing Address - Street 1: | 525 ZANE ST |
Mailing Address - Street 2: | |
Mailing Address - City: | LOUISVILLE |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40203-3203 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 502-893-3900 |
Mailing Address - Fax: | 502-893-9646 |
Practice Address - Street 1: | 525 ZANE ST |
Practice Address - Street 2: | |
Practice Address - City: | LOUISVILLE |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40203-3203 |
Practice Address - Country: | US |
Practice Address - Phone: | 502-893-3900 |
Practice Address - Fax: | 502-893-9646 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-08-06 |
Last Update Date: | 2013-08-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251V00000X | Agencies | Voluntary or Charitable |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
IN | 100415400 | Medicaid | |
KY | 13000088 | Medicaid |