GINKGO GARDEN INC
NPI 1356429542
Clinic/Center - Health Service in Grand Rivers, KY
Active since November 02, 2006
About Ginkgo Garden Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINKGO GARDEN INC (NPI 1356429542) is a healthcare organization registered as a health service in Grand Rivers, Kentucky and active in the NPI registry since November 2006. The organization lists Mary Couillard, Owner, as its authorized official.
NPPES Registry Identity
NPI1356429542
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameGINKGO GARDEN INC
Location Address462 BARKLEY DRGrand Rivers, KY 42045
Mailing Address462 Barkley DrGrand Rivers, KY 42045 · (270) 362-5009 · Fax (928) 563-5009
Phone(270) 362-5009
Fax(928) 563-5009
Organization SubpartNo
Authorized OfficialMary CouillardOwner · (270) 362-5009
Enumeration DateNovember 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356429542 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in KY · 264207
462 BARKLEY DR, Grand Rivers, KY 42045
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356429542, enumerated as an "organization" on November 02, 2006.
The provider is located at 462 BARKLEY DR GRAND RIVERS, KY 42045 and the phone number is (270) 362-5009.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.