Children And Youth Project-Adolescent Clinic

LBN: University Of Louisville
Children And Youth Project-Adolescent Clinic is an health care organization with primary practice located at 555 S Floyd St , Louisville KY 40202-3822. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. University Of Louisville can be contacted via phone (502) 852-5588, or through Rabalais, Gerard via phone (502) 852-8600.

Contact Information

Primary practice address
555 S Floyd St Louisville KY 40202-3822
Phone: (502) 852-5588
Fax: (502) 852-5630
Website:
Map and Directions
Authorized official contact:
Name: Rabalais, Gerard Doctor of Medicine (MD)
Phone: (502) 852-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 29710 Kentucky

Profile Details

NPI number 1528209350
LBN Legal business name University Of Louisville
DBA Doing business as Children And Youth Project-Adolescent Clinic
Authorized official Rabalais, Gerard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2009
Last updated Jul 9th, 2012 - 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 1528209350 NPPES
Kentucky MEDICAID 64067259

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