Organization
LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Active
Other names
Jefferson County Immunization Int Project
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBYN DICKERSON MSM (FISCAL MANAGER)
(502) 574-6580
Entity
Organization
Contact information
Practice address
400 E GRAY ST, LOUISVILLE, KY 40202-1740
(502) 574-5652
(502) 574-6417
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
251K00004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051428
PASSPORT MANAGED CARE NUM
KY
05
—
20056099
—
KY
Enumeration date
02/23/2007
Last updated
08/27/2024
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Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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