Organization
HEPATITIS C TREATMENT CENTERS INC
Active
Other names
HCTC inc.,
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI DIANE BOND MS (ADMINISTRATOR)
(502) 727-8268
Entity
Organization
Contact information
Practice address
1009 N DUPONT SQ, LOUISVILLE, KY 40207-4612
(502) 721-5220
(502) 894-9991
Mailing address
PO BOX 384, PROSPECT, KY 40059-0384
(502) 894-9951
(502) 225-5858
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY21721
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64217219
—
KY
05
—
65904039
—
KY
Enumeration date
01/03/2008
Last updated
12/27/2023
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