NPIMap

Organization Active NPI

Louisville-Jefferson County Metro Government

Doing business as Louisville Metro Depart of Public Health & Wellness - NJ South Central

  • Public Health or Welfare Agency
  • Louisville, KY
National Provider Identifier
1063557346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
51K000004 Issued in KY
Legal business name
LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Doing business as
Louisville Metro Depart of Public Health & Wellness - NJ South Central
Practice address
4255 Hazelwood Avenue
Louisville, KY 40215
Phone
(502) 485-7141
Fax
(502) 485-7140
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenneth R Kring, CPA
Title
Business Manager II
Phone
(502) 574-8430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 51K000004 KY Primary

Addresses

Primary practice location

4255 Hazelwood Avenue
Louisville, KY 40215

Mailing address

400 E Gray St
P. O. Box 1704
Louisville, KY 40202-1740
Phone (502) 574-5652

Other identifiers 2

IdentifierTypeStateIssuer
20056313MedicaidKY
1051447OtherKYPASSPORT MANAGED CARE NUM

Other names 1

  • Louisville Metro Depart of Public Health & Wellness - NJ South Central Doing business as

National Provider Directory

National Provider Directory

Locations

4255 Hazelwood Ave
Louisville, KY 40215
Phone (502) 485-7141

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063557346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E GRAY ST",
            "address_2": "P. O. BOX 1704",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021740",
            "telephone_number": "502-574-5652",
            "fax_number": "502-574-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 HAZELWOOD AVENUE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40215",
            "telephone_number": "502-485-7141",
            "fax_number": "502-485-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER II",
        "authorized_official_telephone_number": "502-574-8430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": "51K000004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20056313",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MANAGED CARE NUM",
            "identifier": "1051447",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Metro Depart of Public Health & Wellness - NJ South Central",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.