Cpo Psc

LBN: Cpo Psc
Cpo Psc is an health care organization with primary practice located at 4402 Churchman Ave Suite 404, Louisville KY 40215-1190. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Cpo Psc can be contacted via phone (502) 363-4156, or through Peters, Lawrence H via phone (502) 366-0970.

Contact Information

Primary practice address
4402 Churchman Ave Suite 404 Louisville KY 40215-1190
Phone: (502) 363-4156
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peters, Lawrence H Doctor of Medicine (MD)
Phone: (502) 366-0970

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 31716 Kentucky
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 31716 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5222 Kentucky

Profile Details

NPI number 1720090525
LBN Legal business name Cpo Psc
DBA Doing business as
Authorized official Peters, Lawrence H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated May 27th, 2022 - about 2 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 1720090525 NPPES
Kentucky MEDICAID 65900961
Kentucky MEDICAID 78903531

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