Organization · NPI-2

Jencare Neighborhood Medical Center Newburg, LLC

Specialist · Louisville, KY

NPI number1861752644
StatusActive
Last updated in NPPESOct 31, 2024

Details

NPI
1861752644
Entity type
Organization (NPI-2)
Legal business name
Jencare Neighborhood Medical Center Newburg, LLC
Organization subpart
No
Enumeration date
May 25, 2012
Certification date
Oct 31, 2024
Last updated
Oct 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes
332900000X Non-Pharmacy Dispensing Site––

Other names

  • Jencare Neighborhood Medical Center (Doing Business As)

Practice location

1918 Hikes Ln
Louisville, KY 40218-2598

Phone 305-653-1770

Mailing address

1395 Nw 167th St
Miami, FL 33169-5710

Phone 305-628-6117

Authorized official

Mary Chen
Authorized Official
3058314722

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