Park Duvalle Community Health Center, Inc.
NPI 1255354361 · Federally Qualified Health Center (FQHC) · Louisville, KY
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Park Duvalle Community Health Center, Inc. is a Federally Qualified Health Center (FQHC) organization in Louisville, KY (NPI 1255354361).
Provider details
- NPI number
- 1255354361
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Park Duvalle Community Health Center, Inc
- Organization subpart
- Yes
- Authorized official
- Swannie Jett, Ceo(502) 774-4401
- License
- 700005 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Russell Neighborood Health Center
- Doing business as
- Russell Neighborood Health Center
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2021-11-02
- Certified
- 2021-11-02
Frequently asked questions
- What is Park Duvalle Community Health Center, Inc.'s NPI number?
- Park Duvalle Community Health Center, Inc.'s National Provider Identifier (NPI) is 1255354361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Duvalle Community Health Center, Inc.?
- Park Duvalle Community Health Center, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Park Duvalle Community Health Center, Inc. located?
- Park Duvalle Community Health Center, Inc.'s practice location on file with NPPES is 1425 W. Broadway, Louisville, KY 40202.
- What is Park Duvalle Community Health Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Park Duvalle Community Health Center, Inc. is (502) 584-2992.
- Does Park Duvalle Community Health Center, Inc. accept Medicare?
- Park Duvalle Community Health Center, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Park Duvalle Community Health Center, Inc.?
- The authorized official listed on Park Duvalle Community Health Center, Inc.'s NPPES record is Swannie Jett, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Duvalle Community Health Center, Inc.'s NPI active?
- Yes — Park Duvalle Community Health Center, Inc.'s NPI (1255354361) is active in the NPPES registry as of the last update on 2021-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.