| Ufpa Center For Primary Care | |
|
215 Central Ave Ste 205 Louisville KY 40208-1449 | |
| (502) 852-3322 | |
| Not Available |
| Full Name | Ufpa Center For Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Central Ave, Louisville, Kentucky |
| Authorized Official Name and Position | James G. O'brien (PRESIDENT/DEPARTMENT CHAIR) |
| Authorized Official Contact | 5028528498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ufpa Center For Primary Care Po Box 909 Louisville KY 40201-0909 Ph: (502) 852-5205 | Ufpa Center For Primary Care 215 Central Ave Ste 205 Louisville KY 40208-1449 Ph: (502) 852-3322 |
| NPI Number | 1326292996 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326292996 | NPI | - | NPPES |
| 200940330 | Medicaid | IN | |
| 7100083770 | Medicaid | KY | |
| 3704175000 | Other | KY | PASSPORT ADV |
| 50023132 | Other | KY | PASSPORT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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