PARK DUVALLE COMMUNITY HEALTH CENTER, INC; NPI #1578286985

Contact Information

PARK DUVALLE COMMUNITY HEALTH CENTER, INC

3828 BARDSTOWN RD
LOUISVILLE, KY 40218-1527

Phone: 502-479-8930
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for PARK DUVALLE COMMUNITY HEALTH CENTER, INC

NPI # 1578286985

LBN Legal business name PARK DUVALLE COMMUNITY HEALTH CENTER, INC

Authorized official SWANNIE JETT - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 09/21/2022

Last updated 09/21/2022 - About 4 years ago

Identifiers

KY	Medicaid	31000011
KY	Other	P08243	PHARMACY LIC

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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PARK DUVALLE COMMUNITY HEALTH CENTER, INC

Contact Information

Specialty

Clinic Pharmacy

NPI Profile & details for PARK DUVALLE COMMUNITY HEALTH CENTER, INC

Reviews for PARK DUVALLE COMMUNITY HEALTH CENTER, INC