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Organization
LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Active
Organization
LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Active
Other names
Newburg Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBYN DICKERSON MSM (FISCAL MANAGER)
(502) 574-6580
Entity
Organization
Contact information
Practice address
4810 EXETER AVE, LOUISVILLE, KY 40218-3874
(502) 458-1215
(502) 456-4812
Mailing address
400 E GRAY ST, P. O. BOX 1704, LOUISVILLE, KY 40202-1740
(502) 574-6514
(502) 574-6417
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
251K000004
KY
251K00000X
Public Health or Welfare Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
Other
Enumeration date
02/23/2007
Last updated
04/22/2024
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