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FAMILY WELLCARE CLINIC, PLLC
NPI 1619496395
Clinic/Center - Rural Health in Springfield, KY

Active since September 14, 2017CLIA 18D2133571 · Waiver
805 BARDSTOWN RD STE 12, SPRINGFIELD, KY 40069(859) 481-7113(859) 481-7114 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 23, 2018, Oct 17, 2017 and 1 more (4 updates tracked since 2017).

About Family Wellcare Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY WELLCARE CLINIC, PLLC (NPI 1619496395) is a healthcare organization registered as a rural health in Springfield, Kentucky and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Imad Antone Haddad, Manager, as its authorized official.

NPPES Registry Identity

NPI1619496395
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAMILY WELLCARE CLINIC, PLLC
Location Address805 BARDSTOWN RD STE 12Springfield, KY 40069
Mailing Address805 Bardstown Rd Ste 12Springfield, KY 40069-1515 · (859) 481-7113 · Fax (859) 481-7114
Phone(859) 481-7113
Fax(859) 481-7114
Organization SubpartNo
Authorized OfficialImad Antone HaddadManager · (859) 481-7113
Enumeration DateSeptember 14, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1619496395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
805 BARDSTOWN RD STE 12, Springfield, KY 40069
Open in Google Maps ↗

Other Identifiers 1

Medicaid64065865KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 Waiver 18D2133571

Family Wellcare Clinic, PLLC · Springfield, KY
Active · expires Jul 16, 2027
CLIA Number18D2133571
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorImad A. Haddad
Laboratory Phone(859) 238-7756
Laboratory LocationFamily Wellcare Clinic, PLLC805 Bardstown Road Ste 12, Springfield, KY 40069
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KRISTEN RENEE RYAN FNP-C
Nurse Practitioner (Family)
805 BARDSTOWN RD STE 12
SPRINGFIELD, KY 40069
Washington County (859) 481-7113
IMAD HADDAD MD
Internal Medicine
805 BARDSTOWN RD STE 12
SPRINGFIELD, KY 40069
Washington County (859) 481-7113
LAURA MICHELLE OLDHAM APRN, NP-C
Nurse Practitioner (Family)
805 BARDSTOWN RD STE 12
SPRINGFIELD, KY 40069
Washington County (859) 481-7113

Frequently 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 Family Wellcare Clinic, PLLC's NPI number?

The NPI number for Family Wellcare Clinic, PLLC is 1619496395. It was assigned to this organization in the NPPES registry on September 14, 2017.

Where is Family Wellcare Clinic, PLLC located?

Family Wellcare Clinic, PLLC is located at 805 Bardstown Rd Ste 12, Springfield, KY 40069. The listed phone number is (859) 481-7113.

What is Family Wellcare Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Family Wellcare Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2133571) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Wellcare Clinic, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Family Wellcare Clinic, PLLC 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 Family Wellcare Clinic, PLLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.