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LOUISVILLE INTEGRATED CARE NPI 1669093647


NPI Information

NPI: 1669093647
Provider Name: LOUISVILLE INTEGRATED CARE
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1151 S 4TH ST STE 208
LOUISVILLE, KY
ZIP 40203
Phone: (502) 612-6981
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LOUISVILLE INTEGRATED CARE is an addiction medicine family medicine in Louisville, KY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. LOUISVILLE INTEGRATED CARE NPI is 1669093647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1151 S 4TH ST STE 208
LOUISVILLE, KY
ZIP 40203-101
Phone: (502) 612-6981

The provider's authorized official is Michelle R Hicks .
The authorized official title is Owner and has the following contact phone number (502) 612-6981.

The enumeration date for this NPI number is 5/1/2020 and was last updated on 7/9/2020.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2207QA0401XFamily MedicineAddiction MedicineYes
3207V00000XObstetrics & GynecologyNo
4251B00000XCase ManagementNo
5175T00000XPeer SpecialistNo

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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