Matthew 25 AIDS Services Inc
NPI 1457355125ActiveOrganization· Clinic/Center· Henderson, KY
Clinic/Center in Henderson, Kentucky, registered in NPPES in June 2005. The authorized official on file is Courtney Woolfork, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1457355125 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2005 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 740146 | KY |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KY) |
|---|
Other Clinic/Center providers in Henderson
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