Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CENTRAL STATE HOSPITAL
Active
Organization
CENTRAL STATE HOSPITAL
Active
Other names
CENTRAL STATE HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MCCULLEN (SENIOR CONTROLLER)
(502) 253-7000
Entity
Organization
Contact information
Practice address
10510 LA GRANGE RD, LOUISVILLE, KY 40223-1277
(502) 253-7337
(502) 253-7344
Mailing address
10510 LA GRANGE RD, LOUISVILLE, KY 40223-1277
(502) 253-7337
(502) 253-7344
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
P05065
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118602
PK
—
05
—
54025408
—
KY
Enumeration date
01/20/2009
Last updated
04/22/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers