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Contact Information

KMI ACQUISITION LLC
8521 LAGRANGE RD
LOUISVILLE, KY40242-3800
 Phone: 502-426-6380
 Fax: 502-814-3711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
 

Psychiatric Residential Treatment Facility

323P00000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for KMI ACQUISITION LLC

NPI # 1104097021
LBN Legal business name KMI ACQUISITION LLC
Authorized official STEVE FILTON - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2008
Last updated 05/24/2024 - About 2 years ago
Identifiers
KY License # 100241
KY License # 810229
IN Medicaid 200910090A
KY Medicaid 7100029460
KY Medicaid 7100036170
OH Medicaid 2361377
KY Other 000000556016 ANTHEM
KY Other 008618000 MAGELLAN BEHAVIORAL HEALT
KY Other 3534130000 PASSPORT ADVANTAGE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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