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Contact Information

USPIRITUS- BROOKLAWN- MAGNOLIA
2111 GOLDSMITH LN
LOUISVILLE, KY40218-1206
 Phone: 502-451-5177
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for USPIRITUS- BROOKLAWN- MAGNOLIA

NPI Number 1982558318
LBN Legal business name USPIRITUS- BROOKLAWN- MAGNOLIA
Authorized official JILLIAN DETHERAGE - (DIRECTOR OF COMPLIANCE & QI)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/23/2026
Last updated 02/23/2026 - About 3 months ago
Identifiers n/a
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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