Organization · Type 2 NPI

Fresh Start Health PSC

Rural Health Clinic/Center · Vanceburg, KY

NPI number 1669252995 Active

Practice location

207 Plummers Ln
Vanceburg, KY 41179-7683

Fax (888) 606-7354

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

6 other providers at this address

Professional Care Pharmacy IncCommunity/Retail Pharmacy Vanceburg, KY NPI 1790897890
Arica Nicole Donini, APRNFamily Nurse Practitioner Vanceburg, KY NPI 1194981969
Dennis Weddington, PharmDPharmacist Vanceburg, KY NPI 1023415312
Frances Mary Keating, MDFamily Medicine Physician Vanceburg, KY NPI 1588703086
Jennifer Mary Rice, APRNPsychiatric/Mental Health Nurse Practitioner Vanceburg, KY NPI 1952813859
Mindy Katherine MillerPharmacist Vanceburg, KY NPI 1609593649

NPI record

NPI: 1669252995
Entity type: Organization (Type 2)
Issued: Oct 4, 2023
Last updated: Oct 4, 2023
Status: Active
Subpart: Yes of Fresh Start Health PSC

Other names

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Fresh Start Health Centers Vanceburg · doing business as
Fresh Start Health Centers Vanceburg · other name

Authorized official

Jerrel H Boyer
CEO
(773) 296-6666

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669252995

Fresh Start Health PSC's National Provider Identifier is 1669252995, issued on Oct 4, 2023. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Vanceburg, KY. The record was last updated on Oct 4, 2023.