Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Park Duvalle Community Health Center, Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1275151292

Park Duvalle Community Health Center, Inc is a Federally Qualified Health Center (FQHC) in Louisville, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3015 Wilson Ave
Louisville, KY 40211-1969
Phone: (502) 916-7091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1275151292
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPark Duvalle Community Health Center, Inc
Authorized official Swannie Jett — Ceo · (502) 774-4401
Other names Park Duvalle Mobile Dentistry Van; Park Duvalle Mobile Dentistry Van
NPI enumeratedJuly 7, 2020
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address3015 Wilson Ave, Louisville, KY 40211-1969

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