JEFFERSON COUNTY IMMUNIZATION INT PROJECT
NPI 1316072689
Public Health or Welfare in Louisville, KY

NPI Status: Active since February 23, 2007

Contact Information

400 E GRAY ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 574-5652
Fax: (502) 574-6417

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  • Organization
  • Public Health or Welfare

About JEFFERSON COUNTY IMMUNIZATION INT PROJECT

This page provides the complete NPI Profile along with additional information for Jefferson County Immunization Int Project, a provider established in Louisville, Kentucky operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1316072689 assigned on February 2007. The practitioner's primary taxonomy code is 251K00000X with license number 251K00004 (KY). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Jefferson County Immunization Int Project. The authorized official of this NPI record is Ms. Robyn Dickerson Msm (Fiscal Manager)

NPI
1316072689
Provider Legal Name
LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Other Organization Name
JEFFERSON COUNTY IMMUNIZATION INT PROJECT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
400 E GRAY ST LOUISVILLE, KY 40202
Location Phone
(502) 574-5652
Location Fax
(502) 574-6417
Mailing Address
400 E GRAY ST P.O.BOX 1704 LOUISVILLE, KY 40202
Mailing Phone
(502) 574-6514
Mailing Fax
(502) 574-6417
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2007
Last Update Date
08-27-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
251K00004
License State
KY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ROBYN DICKERSON MSM

Authorized Official Title
FISCAL MANAGER
Authorized Official Phone
(502) 574-6580

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
20056099MEDICAID (05)KY 
1051428OTHER (01)KYPASSPORT MANAGED CARE NUM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316072689
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326074616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 0 + 7 + 4 + 6 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1316072689 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003127721 MARY MARGARET LEE DMD
Individual
Dentist (General Practice)400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-6511
1326443433MRS. SHARRY D MALLORY
Individual
Dietitian, Registered400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-6580
1619374709 JENNIFER BOWMAN RD, LD, CLC
Individual
Dietitian, Registered400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-6506
1619242690 GREGORY PAUL LINDAUER APRN
Individual
Nurse Practitioner (Family)400 E GRAY ST TB CLINIC
LOUISVILLE, KY 40202
(502) 574-6617
1639214224LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Organization
Public Health or Welfare400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-5652
1467588418LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Organization
Public Health or Welfare400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-5652
1649433434MS. SHANNON RAE BRETZ ARNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-6520
1518398767 LISA ARNOLD M.S, R.D, C.D.E
Individual
Dietitian, Registered400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-5284
1225163595LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Organization
Public Health or Welfare400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-5652
1699800961LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Organization
Public Health or Welfare400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-5652
1093741639LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Organization
Public Health or Welfare400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-5652
1649068453 INDIA A GANT APRN
Individual
Nurse Practitioner (Adult Health)400 E GRAY ST
LOUISVILLE, KY 40202
(502) 574-6617

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316072689, enumerated in the NPI registry as an "organization" on February 23, 2007

The provider is located at 400 E Gray St Louisville, Ky 40202 and the phone number is (502) 574-5652

This medical organization specializes in Public Health or Welfare with taxonomy code 251K00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.