Infinity Care | |
2515 7th Street Rd Louisville KY 40208-1070 | |
(585) 402-9286 | |
(502) 632-1432 |
Full Name | Infinity Care |
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Speciality | Clinic/Center |
Location | 2515 7th Street Rd, Louisville, Kentucky |
Authorized Official Name and Position | Jack Pickford (CREDENTIALING MANAGER) |
Authorized Official Contact | 5022937377 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infinity Care 2515 7th Street Rd Louisville KY 40208-1070 Ph: (585) 402-9286 | Infinity Care 2515 7th Street Rd Louisville KY 40208-1070 Ph: (585) 402-9286 |
NPI Number | 1720790223 |
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Provider Enumeration Date | 12/16/2022 |
Last Update Date | 03/11/2024 |
Medicare PECOS PAC ID | 1759736481 |
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Medicare Enrollment ID | O20231016001337 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720790223 | NPI | - | NPPES |
1861867830 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Dana Elizabeth Ahmed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992418420 PECOS PAC ID: 0941662977 Enrollment ID: I20230808002992 |
Provider Name | Magdalen K Mekoh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972387991 PECOS PAC ID: 2264886571 Enrollment ID: I20230920002025 |
Provider Name | Ashley Utley Lawing |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487141669 PECOS PAC ID: 7719335207 Enrollment ID: I20240410002419 |
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