# LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Newburg Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255466512
- **Authorized official:** MS. ROBYN DICKERSON MSM (FISCAL MANAGER)
- **Authorized official phone:** (502) 574-6580

## Contact information

- **Practice address:** 4810 EXETER AVE, LOUISVILLE, KY 40218-3874
- **Practice address phone:** (502) 458-1215
- **Practice address fax:** (502) 456-4812
- **Mailing address:** 400 E GRAY ST, P. O. BOX 1704, LOUISVILLE, KY 40202-1740
- **Mailing address phone:** (502) 574-6514
- **Mailing address fax:** (502) 574-6417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 251K000004 | KY | Yes |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 04/22/2024