Louisville Patient Centered Medical Home, Psc in Louisville - Primary Care

Louisville Patient Centered Medical Home, Psc - NPI 1265604763

Louisville Patient Centered Medical Home, Psc is a Primary Care in Louisville, Kentucky. Louisville Patient Centered Medical Home, Psc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Louisville Patient Centered Medical Home, Psc is 1265604763. The last update date is 2013-12-27.

Louisville Patient Centered Medical Home, Psc's current location address is 4010 Dupont Cir, Louisville, Kentucky. You can contact this provider via phone number 5028968041 and fax number 5028968044. The mailing address for Louisville Patient Centered Medical Home, Psc is 4010 Dupont Cir, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Louisville Patient Centered Medical Home, Psc
Address 4010 Dupont Cir, Louisville, Kentucky
Phone Number 5028968041
Fax Number 5028968044
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Charasika D. James
Credentials M.D.
Telephone Number 5028968041

NPI Number Detail

NPI Number 1265604763
Provider Enumeration Date 2008-03-25
Last Updated Date 2013-12-27

Provider Mailing Address Detail

Address 4010 Dupont Cir
City Louisville
State Kentucky (KY)
Post Code 402074812
Phone Number 5028968041
Fax Number 5028968044

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 18988
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1043299514 KY NPI

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FAQs about Louisville Patient Centered Medical Home, Psc

What is the Louisville Patient Centered Medical Home, Psc's unique identification number?

The Louisville Patient Centered Medical Home, Psc has been assigned the NPI (National Provider Identifier) Number 1265604763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Louisville Patient Centered Medical Home, Psc is geographically located?

The Louisville Patient Centered Medical Home, Psc is physically situated at the following location: 4010 Dupont Cir, Louisville, KY, 402074812.

What is Louisville Patient Centered Medical Home, Psc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Louisville Patient Centered Medical Home, Psc is Primary Care, and the taxonomy code that categorizes this field of expertise is 261Qp2300X.

On what date did the Louisville Patient Centered Medical Home, Psc receive the assignment of its 1265604763 from the Centers for Medicare & Medicaid Services?

The Louisville Patient Centered Medical Home, Psc was issued its 1265604763 by the Centers for Medicare & Medicaid Services on 2008-03-25.

As of what date were the details related to Louisville Patient Centered Medical Home, Psc most recently updated or revised?

The information pertaining to Louisville Patient Centered Medical Home, Psc, including its address, specialty, and other relevant details, was last updated or revised on 2013-12-27.

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