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CENTRAL STATE HOSPITAL PHARMACY NPI 1265530034


NPI Information

NPI: 1265530034
Provider Name: CENTRAL STATE HOSPITAL PHARMACY
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
10510 LAGRANGE RD
LOUISVILLE, KY
ZIP 40223
Phone: (502) 253-7000
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CENTRAL STATE HOSPITAL PHARMACY is a psychiatric hospital in Louisville, KY. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. CENTRAL STATE HOSPITAL PHARMACY NPI is 1265530034. The provider is registered as an organization entity type.

The provider's business location address is:

10510 LAGRANGE RD
LOUISVILLE, KY
ZIP 40223-277
Phone: (502) 253-7000

The provider's authorized official is Patricia P Brodie .
The authorized official title is Hospital Director and has the following contact phone number (502) 253-7000.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric HospitalP05065KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
154025408MEDICAIDKENTUCKY
2184015MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYMEDICARE PROV #
3=========OTHERKENTUCKYTAX ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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