Louisville Patient Centered Medical Home, Psc
LBN: Louisville Patient Centered Medical Home, Psc
Louisville Patient Centered Medical Home, Psc is an health care organization with primary practice located at 4010 Dupont Cir Suite 308, Louisville KY 40207-4812. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Louisville Patient Centered Medical Home, Psc can be contacted via phone (502) 896-8041, or through Charasika, James D. via phone (502) 896-8041.
Contact Information
Primary practice address
4010 Dupont Cir Suite 308
Louisville KY 40207-4812
Phone: (502) 896-8041
Fax: (502) 896-8044
Website:
Authorized official contact:
Name: Charasika, James D. Doctor of Medicine (MD)
Phone: (502) 896-8041
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18988 | Kentucky |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 18988 | Kentucky |
Profile Details
| NPI number | 1265604763 |
|---|---|
| LBN Legal business name | Louisville Patient Centered Medical Home, Psc |
| DBA Doing business as | |
| Authorized official | Charasika, James D. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 25th, 2008 |
| Last updated | Dec 27th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265604763 | NPPES |
| Kentucky | Other | 1043299514 | NPI |
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