| Uofl Family Medicine @ Acb | |
|
550 S Jackson St 1st Floor Louisville KY 40202-1622 | |
| (502) 562-6503 | |
| (502) 562-6504 |
| Full Name | Uofl Family Medicine @ Acb |
|---|---|
| Speciality | Family Medicine |
| Location | 550 S Jackson St, Louisville, Kentucky |
| Authorized Official Name and Position | James G. O'brien (DEPARTMENT CHAIRMAN) |
| Authorized Official Contact | 5028528498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uofl Family Medicine @ Acb 501 E Broadway Ste 290 Louisville KY 40202-1785 Ph: (502) 217-5134 | Uofl Family Medicine @ Acb 550 S Jackson St 1st Floor Louisville KY 40202-1622 Ph: (502) 562-6503 |
| NPI Number | 1679539258 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 07/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679539258 | NPI | - | NPPES |
| 7100108960 (ARNPS) | Medicaid | KY | |
| 1120262 | Other | KY | PASSPORT HEALTH PLAN |
| 7100091550 | Medicaid | KY |
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