Basic Information
Provider Information
NPI: 1710590880
EntityType: 2
ReplacementNPI:  
OrganizationName: FLAGET HEALTHCARE, INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: FLAGET HEALTHCARE OBSTETRICS AND GYNECOLOGY RHC
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 936
Address2:  
City: LONDON
State: KY
PostalCode: 407430936
CountryCode: US
TelephoneNumber: 6066824001
FaxNumber: 6063307825
Practice Location
Address1: 4359 SHEPHERDSVILLE ROAD
Address2: STE 255
City: BARDSTOWN
State: KY
PostalCode: 40004
CountryCode: US
TelephoneNumber: 6066824001
FaxNumber: 5023505820
Other Information
ProviderEnumerationDate: 08/28/2020
LastUpdateDate: 08/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SPITSER
AuthorizedOfficialFirstName: CHRISTY
AuthorizedOfficialMiddleName: LYNN
AuthorizedOfficialTitleorPosition: MARKET VICE PRESIDENT
AuthorizedOfficialTelephone: 6063306016
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QR1300X  Y Ambulatory Health Care FacilitiesClinic/CenterRural Health

No ID Information.


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