Organization
LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Active
Other names
Bridges of Hope, Louisville Metro Depart of Public Health & Wellness -NP BOH
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN DICKERSON MSM (MANAGER)
(502) 574-6580
Entity
Organization
Contact information
Practice address
1411 ALGONQUIN PKWY, LOUISVILLE, KY 40210-2305
(502) 634-6077
(502) 634-6081
Mailing address
400 E GRAY ST, P.O. BOX 1704, LOUISVILLE, KY 40202-1740
(502) 574-5652
(502) 574-6417
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
251K000004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051412
PASSPORT MANAGED CARE NUM
KY
05
—
20056271
—
KY
Enumeration date
02/27/2007
Last updated
06/25/2025
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