- Practice location
- 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190
- Phone
- 502-363-4156
- Fax
- —
- Last updated
- May 27, 2022
Cpo Psc is a healthcare organization based in Louisville, KY. Cpo Psc practices in Louisville, KY. The NPI Number for Cpo Psc is 1720090525 and holds a License No. 31716 (KY). The current practice location address for Cpo Psc is 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190 and can be reached out via phone at 502-363-4156.
Provider Profile Details
- NPI Number
- 1720090525
- Provider Name
- Cpo Psc
- Provider Entity Type
- Organization
- Address
- 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190
- Phone Number
- 502-363-4156
- Primary Taxonomy
- Healthcare Provider · 208VP0000X
- Organization Subpart
- No
- Authorized Official
- Lawrence H Peters, MD · MD · 502-366-0970
- Provider Enumeration Date
- August 12, 2006
- Last Update Date
- May 27, 2022
- Certification Date
- May 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4402 Churchman Ave
Suite 404
Louisville, KY 40215-1190 - City
- Louisville
- State
- Kentucky
- Zip
- 40215-1190
- Phone Number
- 502-363-4156
Provider Business Mailing Address Details
- Address
- Po Box 30563
Belfast, ME 04915-2057 - City
- Belfast
- State
- ME
- Zip
- 04915-2057
- Phone Number
- 888-488-8289
- Fax Number
- 502-919-9780
License Information
- License Number (1)
- 31716
- License State (1)
- KY
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- 5222
- License State (2)
- KY
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
- License Number (3)
- 31716
- License State (3)
- KY
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cpo Psc?
The NPI number of Cpo Psc is 1720090525. It was assigned on August 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Cpo Psc?
Cpo Psc is registered under the primary taxonomy Healthcare Provider (code 208VP0000X), licensed in KY under license number 31716.
Where does Cpo Psc practice?
The practice location is 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190. The office can be reached at 502-363-4156 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720090525 directly on the NPPES registry website.