# IROQUOIS MEDICAL CENTER,P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IROQUOIS MEDICAL CENTER, P.S.C
- **Other names:** IMC FAMILY MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164614368
- **Legal business name:** IROQUOIS MEDICAL CENTER, P.S.C
- **Authorized official:** MRS. NEVA ALLEN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (502) 366-7720

## Contact information

- **Practice address:** 1905 W HEBRON LN, SUITE 103, SHEPHERDSVILLE, KY 40165-7465
- **Practice address phone:** (502) 957-7580
- **Practice address fax:** (502) 957-6667
- **Mailing address:** 5601 S 3RD ST, 100, LOUISVILLE, KY 40214-2615
- **Mailing address phone:** (502) 366-7720
- **Mailing address fax:** (502) 366-0824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34540 | KY | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 06/30/2008