Organization
HUMANA GOVERNMENT BUSINESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA BERRIOS (VP, PROVIDER PROCESS AND SERVICES)
(502) 580-1000
Entity
Organization
Contact information
Practice address
500 W MAIN ST, LOUISVILLE, KY 40202-2946
(502) 580-1000
Mailing address
500 W MAIN ST, LOUISVILLE, KY 40202-2946
(502) 580-1000
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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