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Contact Information

TEN BROECK DUPONT INC
1405 BROWNS LN
LOUISVILLE, KY40207-4608
 Phone: 502-896-0495
 Fax: 502-893-8792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Hospital

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

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for TEN BROECK DUPONT INC

NPI Number 1649258781
LBN Legal business name TEN BROECK DUPONT INC
Authorized official JOHN HOLLINSWORTH - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers
KY License # 100595
KY Medicaid 02000008
KY Medicaid 45000221
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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