| The Brook Hospital Kmi | |
|
8521 Lagrange Rd Louisville KY 40242-3800 | |
| (502) 426-6380 | |
| (502) 814-3711 |
| Full Name | The Brook Hospital Kmi |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 8521 Lagrange Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Steve Filton (VICE PRESIDENT) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Brook Hospital Kmi 8521 Lagrange Rd Louisville KY 40242-3800 Ph: (502) 426-6380 | The Brook Hospital Kmi 8521 Lagrange Rd Louisville KY 40242-3800 Ph: (502) 426-6380 |
| NPI Number | 1104097021 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Medicare PECOS PAC ID | 8628155892 |
|---|---|
| Medicare Enrollment ID | O20080411000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104097021 | NPI | - | NPPES |
| 200910090A | Medicaid | IN | |
| 3534130000 | Other | KY | PASSPORT ADVANTAGE |
| 008618000 | Other | KY | MAGELLAN BEHAVIORAL HEALT |
| 7100029460 | Medicaid | KY | |
| 7100036170 | Medicaid | KY | |
| 2361377 | Medicaid | OH | |
| 000000556016 | Other | KY | ANTHEM |
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