Active NPI
Louisville-Jefferson County Metro Government
- Public Health or Welfare Agency
- Louisville, KY
National Provider Identifier
1164557427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
- Practice address
- 2215 Portland Ave
Louisville, KY 40212-1033 - Phone
- (502) 574-6672
- Fax
- (502) 574-3489
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | KY | Primary |
Addresses
Primary practice location
2215 Portland Ave
Louisville, KY 40212-1033
Mailing address
400 East Gray Street
P.O. Box 1704
Louisville, KY 40202-1704
Phone (502) 574-5652
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1059184 | Other | KY | PASSPORT MANAGED CARE NUM |
| 20056164 | Medicaid | KY |
Other names 1
- Louisville Metro Depart of Public Health & Wellness-Portland WIC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164557427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EAST GRAY STREET",
"address_2": "P.O. BOX 1704",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021704",
"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": "2215 PORTLAND AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402121033",
"telephone_number": "502-574-6672",
"fax_number": "502-574-3489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"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": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT MANAGED CARE NUM",
"identifier": "1059184",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20056164",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Louisville Metro Depart of Public Health & Wellness-Portland WIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
- Louisville Veterans Hospital
- Louisville Wound Care Associates PSC
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
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.