Newburg Health Clinic

LBN: Louisville Jefferson County Metro Government
Newburg Health Clinic is an health care organization with primary practice located at 4810 Exeter Ave , Louisville KY 40218-3874. The organization recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Community Health. Agencies / Public Health or Welfare is the primary health care specialty. Louisville Jefferson County Metro Government can be contacted via phone (502) 458-1215, or through Dickerson, Robyn via phone (502) 574-6580.

Contact Information

Primary practice address
4810 Exeter Ave Louisville KY 40218-3874
Fax: (502) 456-4812
Website:
Authorized official contact:
Name: Dickerson, Robyn MSM

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 251K000004 Kentucky
Agencies / Public Health or Welfare 251K00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1255466512
LBN Legal business name Louisville Jefferson County Metro Government
DBA Doing business as Newburg Health Clinic
Authorized official Dickerson, Robyn MSM
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Apr 22nd, 2024 - about 8 months 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 1255466512 NPPES
Kentucky MEDICAID 20056131
Kentucky Other 1051422

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