OrganizationFaith Medical Center LlcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address13232 N Highway 421, Manchester, KY 40962-4972(606) 627-4350(606) 546-2511PECOS EnrollmentBased on the most recent information from CMS, provider Faith Medical Center Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1689971970Provider TypeOrganizationFull NameFaith Medical Center LlcSubpartNoEnumeration Date2/22/2011Last Updated10/25/2016Contact InformationPractice LocationPractice Address13232 N Highway 421, Manchester, KY 40962-4972Phone(606) 627-4350FaxUnlisted FaxMailing LocationMailing AddressPO Box 1404, Richmond, KY 40476-1404Phone(606) 546-2511Fax(606) 546-2513Authorized OfficialNameWarren, Larry E (Owner)Phone(606) 546-2511Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense02875KentuckyCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3008480KentuckyCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1119255Kentucky