NPI 1871623520

Fern Creek Traditional High School

Organisation Point of Service Louisville, KY

Practice location

Address: 9115 Fern Creek Rd, Louisville, KY 40291-2711
Phone: (502) 553-0470
Fax: (502) 485-8009
Mailing address: 195 Aulbern Dr E, Mt Washington, KY 40047-6300

Authorised official

Name: Timothy P Amshoff
Title: Athletic Director
Phone: (502) 538-4951

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence AT445 (KY)

Other Point of Service providers in Kentucky →

Registry record

NPI: 1871623520
Entity type: Organization
NPI issued: 6 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.