Louisville Family & Sports Medicine Psc

LBN: Louisville Family & Sports Medicine Psc
Louisville Family & Sports Medicine Psc is an health care organization with primary practice located at 9420 Brownsboro Rd , Louisville KY 40241-1118. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Louisville Family & Sports Medicine Psc can be contacted via phone (502) 426-4264, or through Potts, Gregory V via phone (502) 426-4264.

Contact Information

Primary practice address
9420 Brownsboro Rd Louisville KY 40241-1118
Fax: (402) 426-4221
Website:
Authorized official contact:
Name: Potts, Gregory V Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1184663015
LBN Legal business name Louisville Family & Sports Medicine Psc
DBA Doing business as
Authorized official Potts, Gregory V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 28th, 2011 - about 13 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 1184663015 NPPES
Kentucky Other 000000346469 ANTHM BCBS-ST
Kentucky MEDICAID 6593237800 ANTHM BCBS-ST
Kentucky Other 000000052204 ANTHM BCBS-ST
Kentucky Other 000000052203 ANTHM BCBS-ST

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