OrganizationActive
Fern Creek Traditional High School
NPI 1871623520 · Point of Service · Louisville, KY
Provider details
- NPI number
- 1871623520
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Timothy Amshoff, Athletic Director(502) 538-4951
- License
- AT445 (KY)
Specialties & taxonomies
Managed Care Organizations
Practice location
9115 Fern Creek Rd
Louisville, KY 40291-2711
Phone: (502) 553-0470
Fax: (502) 485-8009
Approximate (ZIP-level) locationGet directions
Mailing address
195 Aulbern Dr E
Mt Washington, KY 40047-6300
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.