RUSSELL NEIGHBOROOD HEALTH CENTER
NPI 1255354361
Clinic/Center - Federally Qualified Health Center (FQHC) in Louisville, KY
About Russell Neighborood Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSELL NEIGHBOROOD HEALTH CENTER (NPI 1255354361) is a healthcare organization registered as a federally qualified health center (fqhc) in Louisville, Kentucky and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 9, 2027 and lists Swannie Jett, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Russell Neighborood Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Russell Neighborood Health Center, which bills Medicare for the services they deliver. Of these, 20 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 22Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 18D0321510
Park Duvalle Community Health Ctr · Louisville, KYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Park Duvalle Community Health Center, Inc.'s NPI number?
The NPI number for Park Duvalle Community Health Center, Inc. is 1255354361. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Russell Neighborood Health Center.
Where is Park Duvalle Community Health Center, Inc. located?
Park Duvalle Community Health Center, Inc. is located at 1425 W. Broadway, Louisville, KY 40202. The listed phone number is (502) 584-2992.
What is Park Duvalle Community Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Park Duvalle Community Health Center, Inc. enrolled in Medicare?
Yes. Park Duvalle Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Duvalle Community Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 6 Medicare specialties reassign their Medicare billing to Park Duvalle Community Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Clinical Social Worker (2) and Dentist (1). Of these, 20 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Park Duvalle Community Health Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 18D0321510) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Park Duvalle Community Health Center, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Park Duvalle Community Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Park Duvalle Community Health Center, Inc. was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Russell Neighborood Health Center · NPI 1255354361
Federally Qualified Health Center (FQHC) organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1255354361 (Entity type: Organization)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Park Duvalle Community Health Center, Inc.
- **Organization subpart:** Yes (part of Park Duvalle Community Health Center, Inc)
- **Authorized official:** Swannie Jett, CEO
## Practice location
- **Address:** 1425 W. BROADWAY, Louisville, KY 40202
- **Phone:** (502) 584-2992 · **Fax:** (502) 584-3715
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Clinical Social Worker (2), Dentist (1); 20 practice within 10 miles; [full list](https://npiprofile.com/npi/1255354361/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2021
- **Other identifiers:** Medicaid 31000011 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255354361) · Data from the CMS NPPES public registry.