Provider Demographics
NPI:1215133160
Name:FAMILY HEALTH CENTER OF FLOYD COUNTY INC
Entity type:Organization
Organization Name:FAMILY HEALTH CENTER OF FLOYD COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CODEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-283-2371
Mailing Address - Street 1:1000 E SPRING ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150
Mailing Address - Country:US
Mailing Address - Phone:812-941-1701
Mailing Address - Fax:812-945-0393
Practice Address - Street 1:1000 E SPRING ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2943
Practice Address - Country:US
Practice Address - Phone:812-941-1701
Practice Address - Fax:812-945-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200522810AMedicaid