Provider Demographics
NPI:1780929216
Name:HARAMBEE HEALTH CENTER, INC
Entity type:Organization
Organization Name:HARAMBEE HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:KAY
Authorized Official - Middle Name:THOMPSON
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD,APRN
Authorized Official - Phone:502-593-5939
Mailing Address - Street 1:3696 WEBB RD
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40067-6435
Mailing Address - Country:US
Mailing Address - Phone:502-593-5939
Mailing Address - Fax:502-722-0179
Practice Address - Street 1:800 SOUTH PRESTON ST.
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203
Practice Address - Country:US
Practice Address - Phone:502-568-4647
Practice Address - Fax:855-894-2071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care