Central State Hospital

LBN: Central State Hospital
Central State Hospital is an health care organization with primary practice located at 10510 Lagrange Rd , Louisville KY 40223-1277. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Central State Hospital can be contacted via phone (502) 253-7135, or through Reynolds, Mark L via phone (502) 253-7135.

Contact Information

Primary practice address
10510 Lagrange Rd Louisville KY 40223-1277
Phone: (502) 253-7135
Fax: (502) 253-7044
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Mark L
Phone: (502) 253-7135

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 100198 Kentucky

Profile Details

NPI number 1366447609
LBN Legal business name Central State Hospital
DBA Doing business as
Authorized official Reynolds, Mark L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 14th, 2005
Last updated Jul 30th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366447609 NPPES
Kentucky MEDICAID 02021293

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