PERSONAL FAMILY CARE, PLLC (NPI# 1407138506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407138506 |
| Entity Type | Organization |
| Organization Name | PERSONAL FAMILY CARE, PLLC |
| Practice Address |
79 Bobolink Dr Springfield KY 40069-1516 |
| Practice Telephone | 8593363365 |
| Practice Fax Number | 8593361403 |
| Mailing Telephone | 8593363365 |
| Mailing Fax Number | 8593361403 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-12-22 |
| Authorized Official Name | BRIAN WELLS (OWNER) |
| Authorized Official Telephone | 8593363365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
21969 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64219694 | 05 | |
| KY | PASSPORT GROUP | 50034745 | 01 |
| Street Address |
79 BOBOLINK DR |
| City | SPRINGFIELD |
| State | KY |
| Zip Code | 40069-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124320395 | Spring View Hospital, LLC | Family Medicine | 79 Bobolink Dr, Springfield, KY 40069-1516 | 2010-11-22 |
| 1578933222 | Lora A Garrett | Nurse Practitioner | 79 Bobolink Dr, Springfield, KY 40069-1516 | 2015-10-06 |
| 1386073963 | Stephanie Settles Harmon | Nurse Practitioner | 79 Bobolink Dr, Springfield, KY 40069-1516 | 2013-11-05 |
| 1508141961 | Spring View Hospital LLC | Clinic/Center | 79 Bobolink Dr, Springfield, KY 40069-1516 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
| 1730455346 | Christina Nicole Saunier | Speech-Language Pathologist | 716 East Grundy Ave, Springfield, KY 40069 | 2012-03-28 |
| 1912157207 | Allison Brooke Ballard | Social Worker | 2373 Lincoln Park Rd, Springfield, KY 40069 | 2008-09-24 |
| 1497737001 | Lincoln Trail District Health Dept | Public Health or Welfare | 302 E Main St, Springfield, KY 40069 | 2005-11-18 |
| 1497267637 | Jonathon Lee Ennis | Physician Assistant | 805 Bardstown Rd, Springfield, KY 40069 | 2017-10-27 |
| 1619496395 | Family Wellcare Clinic, Pllc | Internal Medicine | 805 Bardstown Rd Ste 12, Springfield, KY 40069 | 2017-09-14 |
| 1750562690 | Washington County Schools | Local Education Agency (LEA) | 120 Mackville Hl, Springfield, KY 40069-1013 | 2007-11-20 |
| 1912028309 | Colette M Hill | Massage Therapist | 114 S Walnut St, Springfield, KY 40069-1104 | 2007-04-03 |
| 1083751424 | Communicare Inc | Community/Behavioral Health | 324 E Main St, Springfield, KY 40069-1127 | 2007-02-01 |
| 1639654809 | Bardstown Primary Care, Pllc | Clinic/Center | 102 W Depot St, Springfield, KY 40069-1159 | 2018-10-03 |
| Find all providers in zip 40069 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1659919744 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2019-12-19 |
| 1649831140 | Balance By Chiropractic LLC | Clinic/Center | 6130 Brandon Ave, Springfield, VA 22150-2610 | 2019-06-25 |
| 1528421591 | Nmn Massage & Bodywork | Clinic/Center | 225 E Sunshine St Ste 102, Springfield, MO 65807-2661 | 2016-03-29 |
| 1912368101 | Springfield Primary and Walk In Clinic Inc | Clinic/Center | 8316 Traford Ln, Unit B, Springfield, VA 22152-1654 | 2016-03-15 |
| 1952725632 | Epoch Health- Springfield, LLC | Clinic/Center | 4560 S Campbell Ave, Suite 116, Springfield, MO 65810-1720 | 2014-02-14 |
| 1922436054 | Maplegate Medical Center Inc | Clinic/Center | 20 Maple St, Suite 3, Springfield, MA 01103-1930 | 2013-10-29 |
| 1043447824 | Orion Healthcare Missouri, LLC | Clinic/Center | 2740 N Mayfair Ave, Springfield, MO 65803-5084 | 2009-06-18 |
| 1821240367 | Concentra Health Services, Inc. | Clinic/Center | 140 Carando Dr., Springfield, MA 01104-3296 | 2008-10-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 40069 |
Please comment or provide details below to improve the information on PERSONAL FAMILY CARE, PLLC.
| 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.