Jewish Hospital Fpa
NPI #1760566392 in Louisville, Kentucky
Provider Information
- NPI Number
- 1760566392
- Entity Type
- Organization
- Organization Name
- Jewish Hospital Fpa
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7612 SHEPHERDSVILLE RD
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40219-2963
- Phone
- (502) 968-6226
Authorized Official
- Name
- DIRENDIA SHACKELFORD
- Title
- MANAGED CARE SPECIALIST
- Phone
- (800) 654-0889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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