| U Of L Family Medicine At Newburg | |
|
1941 Bishop Ln Ste 900 Louisville KY 40218-1922 | |
| (502) 852-6684 | |
| (502) 852-5698 |
| Full Name | U Of L Family Medicine At Newburg |
|---|---|
| Speciality | Family Medicine |
| Location | 1941 Bishop Ln Ste 900, Louisville, Kentucky |
| Authorized Official Name and Position | James Obrien (CHAIRMAN OF DEPARTMENT) |
| Authorized Official Contact | 5028525498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| U Of L Family Medicine At Newburg 501 E Broadway Suite 290 Louisville KY 40202-1785 Ph: (502) 217-8221 | U Of L Family Medicine At Newburg 1941 Bishop Ln Ste 900 Louisville KY 40218-1922 Ph: (502) 852-6684 |
| NPI Number | 1851357735 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 10/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851357735 | NPI | - | NPPES |
| 200255880 C | Medicaid | IN | |
| 1051451 | Other | KY | PASSPORT HEALTH PLAN |
| 65900227 | Medicaid | KY | |
| 78905395 (ARNPS) | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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