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Contact Information

CENTRAL STATE HOSPITAL
10510 LA GRANGE RD
LOUISVILLE, KY40223-1277
 Phone: 502-253-7337
 Fax: 502-253-7344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CENTRAL STATE HOSPITAL

NPI # 1144467770
LBN Legal business name CENTRAL STATE HOSPITAL
Authorized official JOE MCCULLEN - (SENIOR CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2009
Last updated 04/22/2013 - About 13 years ago
Identifiers
KY License # P05065
KY Medicaid 54025408
Other 2118602 PK
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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