Organization
SPALDING UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TORI MURDEN MCCLURE JD, (PRESIDENT)
(502) 588-7164
Entity
Organization
Contact information
Practice address
812 S 2ND ST, LOUISVILLE, KY 40203-2210
(502) 873-4223
(502) 333-9743
Mailing address
845 S 3RD ST, LOUISVILLE, KY 40203-2213
(502) 873-4219
(502) 585-7149
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
101189
KY
252Y00000X
Early Intervention Provider Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
101189
KY
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100248870
—
KY
Enumeration date
06/17/2008
Last updated
06/10/2015
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