BUFFALO TRACE FAMILY HEALTH CARE – NPI #1710141585
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

BUFFALO TRACE FAMILY HEALTH CARE is an AHC clinic located in FLEMINGSBURG, KY. NPPES has assigned the NPI number 1710141585 to BUFFALO TRACE FAMILY HEALTH CARE on July 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BUFFALO TRACE FAMILY HEALTH CARE” is a dba name, the actual legal business name for this organization is GLENN R. WOMACK M.D. PSC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BUFFALO TRACE FAMILY HEALTH CARE below.

NPI Profile for
GLENN R. WOMACK M.D. PSC

NPI Number
1710141585
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLENN R. WOMACK M.D. PSC
Doing Business As (dba): BUFFALO TRACE FAMILY HEALTH CARE
Primary location
732 ELIZAVILLE ROAD
FLEMINGSBURG, KY 41041
Phone: (606) 849-2323 Fax: (606) 849-2025
Mailing address
PO BOX 344
FLEMINGSBURG, KY 41041-0344
Phone: (606) 849-2323 Fax: (606) 849-2025
Organization Subpart
No
Authorized Official
GLENN WOMACK
PRESIDENT
Phone: (606) 849-2323
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
KY 15952

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.