Park Duvalle At Pleasure Ridge Park Health Center
LBN: Park Duvalle Community Health Center, Inc
Park Duvalle At Pleasure Ridge Park Health Center is an health care organization with primary practice located at 5901 Greenwood Rd , Louisville KY 40258-2409. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Park Duvalle Community Health Center, Inc can be contacted via phone (502) 774-4401, or through Jett, Swannie via phone (502) 774-4401.
Contact Information
Primary practice address
5901 Greenwood Rd
Louisville KY 40258-2409
Phone: (502) 774-4401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1811545403 |
|---|---|
| LBN Legal business name | Park Duvalle Community Health Center, Inc |
| DBA Doing business as | Park Duvalle At Pleasure Ridge Park Health Center |
| Authorized official | Jett, Swannie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 28th, 2019 |
| Last updated | Nov 2nd, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811545403 | NPPES |
| Kentucky | MEDICAID | 31000011 |
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