| Jewish Hospital Fpa | |
|
7612 Shepherdsville Rd Louisville KY 40219-2963 | |
| (502) 968-6226 | |
| (502) 966-5562 |
| Full Name | Jewish Hospital Fpa |
|---|---|
| Speciality | Family Medicine |
| Location | 7612 Shepherdsville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Zach Bostock (MANAGER) |
| Authorized Official Contact | 5022624160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Hospital Fpa 7612 Shepherdsville Rd Louisville KY 40219-2963 Ph: (502) 968-6226 | Jewish Hospital Fpa 7612 Shepherdsville Rd Louisville KY 40219-2963 Ph: (502) 968-6226 |
| NPI Number | 1699757559 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699757559 | NPI | - | NPPES |
| 65943383 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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