NPIMap

Organization Active NPI

Hepatitis C Treatment Centers Inc

  • Specialist
  • Louisville, KY
National Provider Identifier
1760667299
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
KY21721 Issued in KY
Legal business name
HEPATITIS C TREATMENT CENTERS INC
Practice address
1009 N Dupont SQ
Louisville, KY 40207-4612
Phone
(502) 721-5220
Fax
(502) 894-9991
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Mrs. Lori Diane Bond, MS
Title
Administrator
Phone
(502) 727-8268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X KY21721 KY Primary

Addresses

Primary practice location

1009 N Dupont SQ
Louisville, KY 40207-4612

Mailing address

PO Box 384
Prospect, KY 40059-0384
Phone (502) 894-9951

Other identifiers 2

IdentifierTypeStateIssuer
64217219MedicaidKY
65904039MedicaidKY

Other names 1

  • HCTC inc., Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000986 KY Part B Supplier - Clinic/Group Practice 9133114507 Receives reassigned benefits from 4 practitioners
Practice locations: Louisville, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hepatitis C Treatment Ctr4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1009A N DuPont Sq
Louisville, KY 40207
Phone (502) 894-9950

1009 N DuPont Sq
#A
Louisville, KY 40207
Phone (502) 894-9950

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1760667299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400590384",
            "telephone_number": "502-894-9951",
            "fax_number": "502-225-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N DUPONT SQ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074612",
            "telephone_number": "502-721-5220",
            "fax_number": "502-894-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPATITIS C TREATMENT CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-727-8268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "KY21721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64217219",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65904039",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCTC inc.,",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HCTC inc.,",
            "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 Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.