# CPS - ELIZABETHTOWN ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790512226
- **Authorized official:** JASON LEWIS MD (OWNER)
- **Authorized official phone:** (502) 855-7200

## Contact information

- **Practice address:** 1141 CROWN POINTE DR, ELIZABETHTOWN, KY 42701
- **Practice address phone:** (270) 506-3300
- **Practice address fax:** (270) 506-2843
- **Mailing address:** 223 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
- **Mailing address phone:** (502) 907-0356
- **Mailing address fax:** (502) 919-9780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/18/2024