Provider Demographics
NPI:1083943575
Name:ODYSSEY INC
Entity type:Organization
Organization Name:ODYSSEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:FLENER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC, FNP-C
Authorized Official - Phone:502-767-1189
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:KY
Mailing Address - Zip Code:41230-0686
Mailing Address - Country:US
Mailing Address - Phone:502-767-1189
Mailing Address - Fax:
Practice Address - Street 1:104 NORTH RICE STREET
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:KY
Practice Address - Zip Code:41230
Practice Address - Country:US
Practice Address - Phone:606-789-4779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty