TRIAD HEALTH SYSTEMS INC. (NPI# 1104248962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104248962 |
| Entity Type | Organization |
| Organization Name | TRIAD HEALTH SYSTEMS INC. |
| Other Organization Name | TRIAD HEALTH SYSTEMS CARROLLTON CLINIC |
| Practice Address |
329 Floyd Dr Carrollton KY 41008-8261 |
| Mailing Address |
Po Box 845 Warsaw KY 41095-0845 |
| Practice Telephone | 5027321082 |
| Practice Fax Number | 8595671253 |
| Mailing Telephone | 8595671591 |
| Mailing Fax Number | 8595671253 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | JESSICA WHEELER (GENERAL MANAGER) |
| Authorized Official Telephone | 8595671271 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIAD HEALTH SYSTEMS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
KY | Ambulatory Health Care Facilities | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
KY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Triad Health Systems Carrollton Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376052308 | Triad Health Systems Inc. | Clinic/Center | 409 Roland Ave, Owenton, KY 40359-1401 | 2017-09-21 |
| 1780109694 | Triad Health Systems Inc. | Clinic/Center | 1005 Highway 22 E, Owenton, KY 40359-9041 | 2017-08-11 |
| 1295189561 | Triad Health Systems Inc. | Psychiatry & Neurology | 327 N Main St, Owenton, KY 40359-1409 | 2016-04-22 |
| Street Address |
329 FLOYD DR |
| City | CARROLLTON |
| State | KY |
| Zip Code | 41008-8261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558474130 | Mark L Miller | Family Medicine | 329 Floyd Dr, Carrollton, KY 41008-8261 | 2006-08-16 |
| 1811236615 | Karen Dunn | Physical Therapist | 329 Floyd Dr, Suite D2, Carrollton, KY 41008-8261 | 2013-02-14 |
| 1952681843 | American Physical Therapy Services, LLC | Clinic/Center | 329 Floyd Dr, Carrollton, KY 41008-8258 | 2011-08-23 |
| 1245525013 | Kentucky Urgent Care, Pllc | Internal Medicine | 329 Floyd Dr, Carrollton, KY 41008 | 2011-06-09 |
| 1891089694 | Lynda Whitt | Social Worker | 329 Floyd Dr, Carrollton, KY 41008-8261 | 2011-06-09 |
| 1700956109 | Christina Marie Rollins | Nurse Practitioner | 329 Floyd Dr, Suite D, Carrollton, KY 41008-8261 | 2006-11-09 |
| 1154418168 | Jeannine Marie Perrenoud | Surgery | 329 Floyd Dr, Carrollton, KY 41008-8261 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233039 | Brett T Gibson | Chiropractor | 2519 Hwy 227 Unit D, Carrollton, KY 41008 | 2016-09-15 |
| 1326382136 | Carroll County Board of Education | Local Education Agency (LEA) | 813 Hawkins St, Carrollton, KY 41008 | 2012-11-16 |
| 1114229234 | Sy Dan Nguyen, Psc | Dentist | 2551 Us Highway 27, Carrollton, KY 41008 | 2010-11-22 |
| 1447300660 | Webster Drugs, Inc. | Pharmacist | Parklane Shopping Center, Carrollton, KY 41008 | 2007-01-11 |
| 1629139522 | Carroll County Medical Advisors Lp | General Acute Care Hospital | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1912073719 | Philip V Habas Dmd Psc | Dentist | 1209 Highland Ave, Suite L, Carrollton, KY 41008 | 2006-11-27 |
| 1447320353 | Carrollton Medical Associates | Internal Medicine | 307 Eleventh Street, Carrollton, KY 41008 | 2006-11-08 |
| 1922187475 | Carrollton Surgical Associates LLC | Surgery | 309 Eleventh Street, Carrollton, KY 41008 | 2006-11-03 |
| 1194818609 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 205 Marwill Dr, Carrollton, KY 41008 | 2006-10-02 |
| 1093819427 | John Thornton Newcomb | Dentist | 1714 Highland Ave., Carrollton, KY 41008 | 2006-09-07 |
| Find all providers in zip 41008 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245609445 | Health Care Coalition of Lafayette County | Clinic/Center | 300 E 9th St, Carrollton, MO 64633-2341 | 2015-09-17 |
| 1477921864 | Whatley Health Services, Inc. | Clinic/Center | 289 William E Hill Dr, Carrollton, AL 35447-3247 | 2015-09-02 |
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|---|---|---|---|---|
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| 1861099087 | Sterling Health Solutions Inc | Clinic/Center | 367 Bethlehem Rd, Paris, KY 40361-2493 | 2020-10-01 |
| 1710584925 | Sterling Health Solutions Inc | Clinic/Center | 3339 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1255938460 | Sterling Health Solutions Inc | Clinic/Center | 3341 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
| 1831705995 | Sterling Health Solutions Inc | Clinic/Center | 369 Bethlehem Rd, Paris, KY 40361-2493 | 2020-09-23 |
| 1053926394 | A Plus Family Healthcare LLC | Clinic/Center | 220 Wildcat Way, Brownsville, KY 42210-9032 | 2020-09-14 |
| 1174138689 | A Plus Family Healthcare LLC | Clinic/Center | 5720 Ky Highway 259 N, Sweeden, KY 42285-7106 | 2020-09-11 |
| 1851901656 | Sterling Health Solutions Inc | Clinic/Center | 506 Maysville Rd Ste 2, Mount Sterling, KY 40353-9317 | 2020-08-06 |
| 1639797665 | Cumberland Family Medical Center, Inc. | Clinic/Center | 478 Whirlaway Drive, Suite 200, Davnille, KY 40422-9037 | 2020-07-07 |
| 1275160376 | Cumberland Family Medical Center, Inc. | Clinic/Center | 323 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-26 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 41008 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.