Whalio Doctors

NPI 1366447609

Central State Hospital

Organisation Psychiatric Hospital Louisville, KY

Practice location

Address
10510 Lagrange Rd, Louisville, KY 40223-1277
Phone
(502) 253-7135
Fax
(502) 253-7044
Mailing address
10510 Lagrange Road, Louisville, KY 40223-1277

Authorised official

Name
Mark L Reynolds
Title
Controller
Phone
(502) 253-7135

Registered specialties

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X Licence 100198 (KY)

Registry record

NPI
1366447609
Entity type
Organization
NPI issued
14 Jun 2005
Record last updated
30 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.