NPIMap

Organization Active NPI

Louisville Jefferson County Metro Government

  • Methadone Clinic
  • Louisville, KY
National Provider Identifier
1932504172
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Practice address
4500 Churchman Ave
Louisville, KY 40215-1188
Phone
(502) 574-6414
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Evette Denise Hudson
Title
Fiscal Manager
Phone
(502) 574-6580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

4500 Churchman Ave
Louisville, KY 40215-1188

Mailing address

611 W Jefferson St
Louisville, KY 40202-2743
Phone (502) 574-6580

Other identifiers 1

IdentifierTypeStateIssuer
7100589030MedicaidKY

National Provider Directory

National Provider Directory

Locations

611 W Jefferson St
Ste 38
Louisville, KY 40202

1448 S 15th St
Louisville, KY 40210
Phone (502) 290-3050

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1932504172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W JEFFERSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022743",
            "telephone_number": "502-574-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 CHURCHMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151188",
            "telephone_number": "502-574-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "502-574-6580"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100589030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 28, 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.