Organization
KMI ACQUISITION LLC
Active
Other names
The Brook Hospital KMI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE FILTON (VICE PRESIDENT)
(610) 768-3300
Entity
Organization
Contact information
Practice address
8521 LAGRANGE RD, LOUISVILLE, KY 40242-3800
(502) 426-6380
(502) 814-3711
Mailing address
8521 LAGRANGE RD, LOUISVILLE, KY 40242-3800
(502) 426-6380
(502) 814-3711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
100241
KY
323P00000X
Psychiatric Residential Treatment Facility
100241
KY
324500000X
Substance Abuse Rehabilitation Facility
810229
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000556016
ANTHEM
KY
01
—
008618000
MAGELLAN BEHAVIORAL HEALT
KY
05
—
200910090A
—
IN
05
—
2361377
—
OH
01
—
3534130000
PASSPORT ADVANTAGE
KY
05
—
7100029460
—
KY
05
—
7100036170
—
KY
Enumeration date
03/19/2008
Last updated
05/24/2024
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