CENTRAL STATE HOSPITAL NPI 1366447609

NPI Information

  • NPI: 1366447609
  • Provider Name: CENTRAL STATE HOSPITAL
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • CLIA Number: 18D0671051
  • Address: 10510 LAGRANGE RD
    LOUISVILLE, KY
    ZIP 40223
  • Phone: (502) 253-7135

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NPI Details

CENTRAL STATE HOSPITAL 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 NPI is 1366447609. 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) 253-7135
Fax: (502) 253-7044

The provider's authorized official is Mark L Reynolds .
The authorized official title is Controller and has the following contact phone number (502) 253-7135.

The CLIA number assigned to this NPI record is 18D0671051 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 7/30/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric Hospital100198KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1184015MEDICARE OSCAR/CERTIFICATIONKENTUCKY
202021293MEDICAIDKENTUCKY

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: 11/21/2025

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