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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
 

Specialist

174400000X
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for KMI ACQUISITION LLC

NPI Number 1972598050
LBN Legal business name KMI ACQUISITION LLC
Authorized official STEVE FILTON - (SR VP CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2005
Last updated 01/14/2014 - About 12 years ago
Identifiers
KY License # 100241
KY License # 25460
KY License # 810229
IN Medicaid 100038830A
KY Medicaid 02021210
KY Medicaid 2685173000
KY Medicaid 45027190
KY Medicaid 50005909
OH Medicaid 2361377
KY Other 000000321602 ANTHEM PROFESSIONAL
KY Other 000000054468 BC/BS PROVIDER NUMBER
KY Other 008618000 MAGELLAN BEHAVIORAL HEALT
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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