National Provider Identifier Database

EASTERN KENTUCKY UNIVERSITY
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

EASTERN KENTUCKY UNIVERSITY
1306 VERSAILLES RD
SUITE 120
LEXINGTON, KY40504-1117
Phone: 859-259-0717
Fax: 859-254-7874
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for EASTERN KENTUCKY UNIVERSITY

NPI Number 1164460051
Legal business name
LBN
EASTERN KENTUCKY UNIVERSITY
Authorized official SUSAN FISTER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/03/2006
Last updated 08/30/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 700160
  • KY Medicaid: 31001118
  • KY Other: 9968164 AETNA
  • KY Other: 000000537566 ANTHEM

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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